Professional Documents
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2 OCTOBER 1990
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USSR: Life Sciences
19980128 146
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Aerospace Medicine
Orthostatic Stability of Athletes of Different Specializations and Its Change As Produced by Lower
Gravity [S. V. Dronenko; VOYENNO-MEDITSINSKIY ZHURNAL, No 5, May 89, p 62] ................... 1
Possibility of Using Evoked Brain Potentials to Diagnose Flight Crew Fatigue
[V. A. Ponomarenko, S. V. Yegorov, et al.; KOSMICHESKA YA BIOLOGIYA I
A VIAKOSMICHESKA YA MEDITSINA, Vol 23 No 4, Jul-Aug 89] ........................................................... 1
Psychological Preparation of Operators for Activity During Sustained G-Loads
[A. A. Oboznov, V. A. Ponomarenko, et al.; KOSMICHESKA YA BIOLOGIYA I
A VIA KOSMICHESKA YA MEDITSINA, Vol 23 No 4, Jul-Aug 89] ........................................................... 3
Artificial Mineralization of Desalinized Drinking Water With Salt Tablets and Powders
[M. I. Shikina, T. I. Aladinskaya, et al.; KOSMICHESKA YA BIOLOGIYA I A VIAKOSMICHESKA YA
M EDITSINA, Vol 23 No 4, Jul-Aug 89] ...................................................................................................... 5
The Mechanism of the Drug Resistance of Escherichia in Cosmonauts
[V. K Ilin; KOSMICHESKA YA BIOLOGIYA I A VIAKOSMICHESKA YA MEDITSINA, Vol 23 No 4,
J ul-A ug 8 9] ................................................................................................................................................... 7
Agricultural Science
Biotechnology
Epidemiology
Diphtheria Morbidity in Volgograd Oblast
[V. N. Lazarev, Yu. A. Zheludkov, et al.; ZDRA VOOKHRANENIYE TURKMENISTANA, No 6, Jun 89
pp 32-32] ...................................................................................................................................................... 12
Incidence of Antibodies to Delta Virus Among HBsAg Positive Individuals Various Populations of
Region With Moderate Incidence of Hepatitis B
[S. V. Zhavoronok; VOPROSY VIRUSOLOGII, Vol 34 No 6, Nov-Dec 89] ........................................... 12
Natural Foci of Hemorrhagic Fever with Renal Syndrome in Northwestern Region of European USSR
[L. A. Avtushenko, Ye. V Ryltseva, et al.; VOPROSY VIRUSOLOGII, Vol 34 No 6, Nov-Dec 891 .......... 13
Morbidity of Zoonotic and Natural-Focal Infections and Problems in Their Prevention in the USSR
[A. L Kondrusev, Yu. M. Fedorov; ZHURNAL MIKROBIOLOGII, EPIDEMIOLOGHI
IM M UNOBIOLOGII, No 12, Dec 89] ....................................................................................................... 13
Epidemiology of HIV Infection in USSR
[V. V. Pokrovskiy, L Yu. Yeramova, et al.; ZHURNAL MIKROBIOLOGII, EPIDEMIOLOGHI
IM M UNOBIOLOGII, No 2, Feb 90] ......................................................................................................... 15
Genetics
Isolation of Recombinant Transducing Phages of Rhizobium Meliloti With Broad Host Range
[N. I. Novikova, V. L Safronova, et al.; GENETIKA, Vol 26 No 1, Jan 90] ....................... 19
In Vitro Selection of Cytoplasmic Mutants in Potatoes
[V A. Sidorov, V. M. Samoylov, et al.; GENETIKA, Vol 26 No 1, Jan 90] ............................................. 19
JPRS-ULS-90-016
2 October 1990 2 USSR: Life Sciences
Immunology
Marine Mammals
Ability of Bottle-Nosed Dolphins To Generalize by Relative Sign
[D. A. Fless, Yu. D. Starodubtsev, et al.; ZHURNAL VYSSHEY NER VNOY DEYA TELNOSTI IMENI
I. P. PA VLO VA, Vol 40 No 1, Jan-Feb 90] ................................................................................................ 22
Medicine
Health Regulation of Physical Factors in Residential Areas Generated by Neighboring Civil Aviation
Installations [V.N. Soldatchenkov; GIGIYENA I SANITARIYA, No 10, Oct 89] .................................. 30
Health Regulation of Electromagnetic Fields Created by Telecommunication Installations
[I1. Karachev; GIGIYENA I SANITARIYA, No 10, Oct 89] ..................................................................... 30
Health Risk Assessment and Standardization of 50 Hz Magnetic Fields
[L.F. Zyubnova, V.B. Karamyshev, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] ........................ 30
Health Risk Assessment of Complex Spectrum Low Frequency Magnetic Fields
[V.M. Shtemler, R. Sudibye, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] .................................... 30
Physiological Criteria for Developmental Health Risk Assessment of 2750 MHz Electromagnetic Field
[N.S. Polka; GIGIYENA I SANITARIYA, No 10, Oct 89] ......................................................................... 31
Biomedical Aspects of Modulated High Frequency Emissions
[T.V. Kalyada and V.N. Nikitina; GIGIYENA I SANITARIYA, No 10, Oct 89] ....................................... 31
Experimental Analysis of Microwave Bioeffects: Systemic, Ultrastructural and Neuronal Mechanisms
[N.N. Vasilevskiy, N.B. Suvorov, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] .............................. 31
Health Risk Assessment of Electromagnetic Fields Caused by Meteorological Radars
[N.G. Nikitina, D.S. Ivanov; GIGIYENA I SANITARIYA, No 10, Oct 89] .............................................. 31
Calculation of Health Risk Probability of Electromagnetic Fields
[D.S. Ivanov; GIGIYENA I SANITARIYA, No 10, Oct 89] ....................................................................... 32
Central Nervous System Function in Health Risk Assessment of Industrial Frequency Electric Field
[I.S. Bezdolnaya; GIGIYENA I SANITARIYA, No 10, Oct 89] ................................................................ 32
Effect of Industrial Frequency Electromagnetic Fields on Lymphocyte Enzymology in Animals Following
Assessment of Adaptational Reactions
[V.D. Dyshlovoy, A.S. Yanovskaya, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] ........................ 32
Functional Asymmetry as Indicator of Biological Activity of Super High Frequency Electromagnetic
Fields [Ye.F. Stoyan; GIGIYENA I SANITARIYA, No 10, Oct 89] ....................................................... 32
Locomotion Parameters of Animals in Health Risk Assessment of Microwave Radiation
[M.A. Navakatikyan, S.L Nogachevskaya; GIGIYENA I SANITARIYA, No 10, Oct 89] ......................... 33
Effect of Microwave Irradiation on Adaptive Reactions of Blood Oxygen Transport System
[V.P. Artyukh; GIGIYENA I SANITARIYA, No 10, Oct 89] ..................................................................... 33
Effects of Long-Term 120 kV/m Electrostatic Fields on Monoaminergic Systems and Energy Metabolism
Enzymes in Rats
[F.G. Portnov, A.P. Iyerusalimskiy, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] ......................... 33
Analysis of Current Production of Soviet Publications on Biological Effects of Radiofrequency
Electromagnetic Fields
[G.L Leonskaya, M. Yu. Antomonov, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] ...................... 33
Novel Applications of Constant Magnetic Fields in Neuroangiology
[G. I. Eninya, L P. Logina, et al.; IZVESTIYA AKADEMII NAUK LA TVIYSKOY SSR, No 2, Feb 90] . 34
Pharmacology, Toxicology
Physiology
Characteristics of Water and Sodium Chloride Solution Lapping by Rats After Litorin Injection Into
Lateral Ventricle
[A. L Yesakov, P.A. Ishanov; ZHURNAL VYSSHEY NERVNOY DEYATELNOSTI IMENI I. P.
PA VLO VA, Vol 39 No 3, M ay-Jun 89] ....................................................................................................... 37
Compensation of Behavioral Disorders in Rats Neonatally Administered 5,7-Dihydroxytryptamine by
Transplantation of Embryonal Raphe Nucleus Tissue
[T. P. Semenova, Ye. A. Gromova, et al.; ZHURNAL VYSSHEY NERVNOY DEYATELNOSTI IMENI I. P.
PA VLO VA, Vol 40 No 1, Jan-Feb 90] ..................................................... ................................................... 37
Effect of Transplantation of Embryonal Brain Tissue (Early Periods) on Avoidance of Artificial and
Zoosocial Stimuli in Rats
[N. G. Mikhaylova, A. V Zukhar, et al.; ZHURNAL VYSSHEY NERVNOY DEYATELNOSTI IMENI
I. P. PA VLO VA, Vol 40 No 1, Jan-Feb 90] ................................................................................................ 38
Public Health
Genetic Counseling Center Opens in Panevezhis [U. Chesayte; SOVETSKAYA LITVA, 01 Sep 89] ....... 39
Therapeutic Trials With Lithium Carbonate As Leukocyte Stimulant in Acute Radiation Sickness
[M. V Konchalovskiy, T. V. Shishkova, et al.; GEMATOLOGIYA I TRANSFUZIOLOGIYA Vol 34 No 3,
Mar 8 9] ........................................................................................................................................................ 39
Bone Marrow Transplantation After Whole-Body Irradiation in Chernobyl
[A. Ye. Baranov, R. Gale, et al.; GEMATOLOGIYA I TRANSFUZIOLOGIYA Mar 89] ......................... 39
Radiation Biology
New, Portable Dosimeter Developed [A. Pokrovskiy; IZVESTIYA, 25 Aug 89] ...................................... 40
Clinical Psychological Assessment and Prognosis of Mental Fitness and Work Fitness of Individuals
Suffering From Minor-Degree Acute Radiation Sickness
[F. S. Torubarov, 0. V. Chinkina; GIGIYENA TRUDA I PROFESSIONALNYYE ZABOLEVANIYA,
No 7, Jul 8 9] ................................................................................................................................................ 40
Diagnosis, Clinical Picture and Treatment of Acute Radiation Sickness in Victims at the Chernobyl
Nuclear Power Plant. Report II. Nonmedullary Syndromes of Radiation Injury and Their Treatment
[A. K. Guskova, A. Ye. Baranov, et al.; TERAPEVTICHESKIYARKHIV, Vol 61 No 8, Aug 89] ............ 42
Scientific Basis for Health Norms and Risk Assessment of Combined Radiative and Nonradiative
Factors [V. Ya. Golikov, Ye.P. Yermolina, et al.; GIGIYENA I SANITARIYA, No 10, Oct 89] .............. 46
Virology
AIDS-Acquired Immune Deficiency Syndrome
[V P. Shirobokov, A. L Yevtushenko, et al.; MIKROBIOLOGICHESKIYE ZHURNAL Vol 51 No 5,
Sep -Oct 8 9] ................................................................................................................................................... 47
Isolation and Characterization of Cloned Variants of Influenza A/USSR/I 3/81 (H 1N l-N3) Virus
[L. M. Fursova, Z. K. Chuvakova, et al.; VOPROSY VIRUSOLOGII, Vol 34 No 6, Nov-Dec 89] ............ 47
Experimental Masking of Human Immunodeficiency Virus Antigen by Specific Antibodies
[G. N. Trushinskaya, V. E. Berezin, et al.; VOPROSY VIRUSOLOGII, Vol 34 No 6, Nov-Dec 89] ......... 47
Immunofluorescent Antigenic Analysis of Tick-Borne Encephalitis Viruses Using Monoclonal Antibodies
[S. Ya. Gaydamovich, N. A. Sveshnikova, et al.; VOPROSY VIRUSOLOGII, Vol 34 No 6,
Nov-D ec 8 9] .................................................................................................................................................. 47
Effects of Specific and Nonspecific Transfer Factors on Experimental Tick-Borne Encephalitis
[V. V Pogodina, L. S. Levina, et al.; VOPROSY VIRUSOLOGII, Vol 34 No 6, Nov-Dec 89] ................ 48
Changes in Biological Properties of Tick-Borne Encephalitis Virus Following Cleavage of Disulfide
Bonds in Protein E
[M. F. Vorovich, A. V. Timofeyev, et al.; VOPROSY VIRUSOLOGII, Vol 34 No 6, Nov-Dec 89] ............ 48
JPRS-ULS-90-016
2 October 1990 Aerospace Medicine
Traditional indicators were used in the analysis of aver- The quality of landing approaches after 10 hours of
aged AEPs-the latent periods of isolated components flying worsens reliably (p < 0.05), which indicates a
and their amplitudes. drop in the level of efficiency in the subjects. This
Before and after the experiment the operators used a process is probably associated with development of
special scale to evaluate the level of their feeling of fatigue. Assessing their own condition after 10 hours of
fatigue. simulated flight on a designated route, all operators
noted a moderate feeling of fatigue. Thus, the dynamics
The quality of activity associated with the landing of the indicators examined above make it possible to
approach was evaluated on the basis of an assignment conclude that in the conditions created in these experi-
fulfillment probability indicator Pab, which is the ments by the half-scale modeling of pilot activity during
product of the probabilities of maintaining specific eval- a long flight on a designated route, operators developed
uated localizer-and-glidescope and velocity parameters, a state of fatigue manifesting itself both as worsening of
obtained by assigning tolerance limits for each of them. the direct indicators of efficiency and as a characteristic
feeling of fatigue arising during work.
Results and Discussion
We can assume on the basis of the data presented above
AEPs with a configuration that remained relatively that the figures in the table reflecting changes in ampli-
stable for each of the subjects over the course of the tude of the AEP NIP 2 complex are associated with
entire experiment were obtained from all operators as a development of fatigue. Comparative analysis of ampli-
result of averaging artifact-free EEG segments synchro- tudes of this component in the AEP structure during
nized with transmission of the auditory stimulus. landing approaches at the beginning and the end of the
Twenty to 25 evoked responses to the stimulus were experiment indicates presence of significant dynamics
averaged in each mode depending on the quality of the expressing themselves as a reliable decrease (p = 0.05) of
recorded EEG. Visual analysis of the resulting AEPs this indicator by an average of 24.5 percent (with indi-
showed that N, 'd P 2 waves with latent periods of vidual fluctuations from 13.2 to 58 percent for different
around 90 and 1/5 msec, respectively, were the most subjects). Predictable changes were not detected in other
pronounced components in their structure, which is amplitude and temporal indicators of the AEP.
JPRS-ULS-90-016
2 October 1990 Aerospace Medicine 3
In light of the fact that the amplitude of the AEP NP 2 9. Chernyakov, G. M., "Metodicheskiye i tekhnicheskiye
complex drops when operators develop fatigue while voprosy eksperimentalnoy psikhofiziologii" [Procedural
performing landing approaches, we can note that it is and Technical Problems of Experimental Psychophysi-
apparently associated with a decline in the reserve capa- ology], Moscow, 1980, pp 40-47.
bilities of the individual. This process manifests itself as
a decrease in the volume and rate of processing of 10. Shagas, Ch., "Vyzvannyye potentsialy mozga v
additional information."',"4 6. In view of its irrelevance to norme i patologii" [Evoked Potentials of the Brain in the
the operators, the auditory stimulus used in the experi- Norm and in Pathology], translated from English,
ments to obtain AEPs was in fact an indifferent signal in Moscow, 1975.
the context of the activity performed, and the parameters COPYRIGHT: "Kosmicheskaya biologiya i aviakos-
of the response to it should have been associated pre- micheskaya meditsina", 1989
cisely with the individual's reserve capabilities. The rise
in the physiological "price" of the work reflects a rise in UDC 613.693+629.78]:612
the level of stress as a result of mobilization of effort to
perform a particular assignment. Given this situation,
the functional system supporting performance of the Psychological Preparation of Operators for
particular form of activity (in this case, a final landing Activity During Sustained G-Loads
approach) occupies the dominant position. It would be 907C0237B Moscow KOSMICHESKA YA BIOLOGIYA
realistic to suggest that as a consequence of such a I A VIAKOSMICHESKA YA MEDITSINA in Russian
process, this system begins to operate as a dominant Vol 23 No 4, Jul-Aug 89 pp 26-29
mechanism, inasmuch as the reduced level of reserve
capabilities does not allow the operator to divert his [Article by A. A. Oboznov, V. A. Ponomarenko and D.
attention to the performance of some other additional Yu. Arkhangelskiy]
tasks. Accordingly, perception and processing of any
additional signal is inhibited by the mechanism of neg- [Text] As we know, the timely performance by an oper-
ative induction, which should be reflected in the charac- ator of protective measures-primarily the tensing at
teristics of the evoked response to such a stimulus. From will of leg and abdominal muscles-prevents the devel-
our point of view, the drop in the amplitude of the NIP 2 opment of visual disturbances accompanying g-loading
component of the AEP during activity carried out and thus increases the reliability of his activity." 3 There-
against the backdrop of developing fatigue reflects such a fore, the development of a special mental quality in the
process, in view of which the proposed indicator may act operator-the ability to divide one's attention between
as one of the diagnostic criteria of this state. carrying out an operator task and performing protective
measures-is the most important element in the psycho-
Bibliography logical preparation of the individual for successful per-
formance of operator tasks in conditions involving sus-
1. Bondarev, E. V., Gurvich, G. I. et al., VOYEN.-MED. tained +G, loads. 2 This means that the individual must
ZHURN., No 8, 1967, pp 62-63. develop a system of mental regulation which will enable
him to carry out a priority operator task while per-
2. Bondarev, E. V., Yegorov, V. A. and Zakharova, 0. F., forming protective measures. In our opinion, this system
KOSMICHESKAYA BIOL., No 3, 1972, pp 64-67. consists of two subordinated levels. The first, the domi-
3. Yegorov, A. S. and Zagryadskiy, V. P., "Psikhofiz- nant one, ensures conscious mental regulation of actions
iologiya umstvennogo truda" [Psychophysiology of associated with carrying out an operator task; the
Mental Work], Leningrad, 1973. second, the subordinate one, regulates simultaneous per-
formance of protective measures without constant con-
4. Yegorov, V. A. and Komandenko, N. I., VOYEN.- scious control.
MED. ZIURN., No 9, 1986, pp 44-45. The goal of the work reported in this paper was to
5. Ivanitskiy, A. M., "Mozgovyye mekhanizmy otsenki experimentally verify the possibility of developing a
signalov" [Cerebral Mechanisms of Signal Evaluation], two-tiered system of mental regulation in ordinary con-
Moscow, 1976. ditions (in the absence of g-loading).
6. Kopanev, V. I. and Yegorov, V. A., VOYEN.-MED. Methods
ZHURN., No 5, 1979, pp 48-51. Two series of experiments were carried out. In the first
7. Peymer, I. A., Yegorov, V. A. et al., "Kibernet- series, which was carried out in ordinary conditions,
icheskiye aspekty integralnoy deyatelnosti mozga" operators used a laboratory testing unit to learn how to
[Cybernetic Aspects of Brain Integral Activity], Moscow, perform their main task-two-dimensional compensa-
1966, pp 184-192. tory tracking of a spot moving on a prescribed trajectory
on an electronic display screen. The testing unit had an
8. Peymer, I. A., "Mekhanizmy vyzvannykh potentsi- adaptive circuit varying the brightness of the spot
alov mozga" [Mechanisms of Evoked Potentials of the according to the promptness with which the operator
Brain], Leningrad, 1971, pp 21-28. performed his protective measures. (The adaptive circuit
JPRS-ULS-90-016
4 Aerospace Medicine 2 October 1990
was designed by V. V. Bogdanov and V. M. Vasilets.) the performance of the operator task. At the end of each
Keeping the spot bright enough for the operator to series, the operators filled out a questionnaire in order to
confidently perceive its position on the screen required clarify the orientation of their voluntary attention.
that he maintain constant tension in his leg and abdom-
inal muscles throughout the entire tracking period.
When muscle tension was insufficient, spot brightness Results and Discussion
decreased automatically, and perception of the spot
became impossible. Consequently, operators could carry The results of the first series showed that the tracking
out their main task only if they maintained constant precision attained on the laboratory testing unit by
muscle tension. All of the operators (eight persons) were operators of the main group was the same as that
divided into two equal groups. Operators of the main attained by operators of the control group (see table). In
group used the adaptive circuit, while operators of the this case the attention of operators of the main group was
control group carried out their tracking task without it. distributed precisely as had been expected: It was ori-
The second series of experiments was carried out on a ented primarily (constantly) on carrying out the tracking
centrifuge on which +G, acceleration with a magnitude task and episodically on maintaining the necessary level
of 5 units and a gradient of increase of 1 unit per second of muscle tension in the legs and abdomen. The priority
were achieved. In preliminary rotations on the centri- of attention division was different only for operator K. It
fuge, the operators of both groups learned to perform the is interesting that this operator's tracking precision was
protective measures during g-loading without having to the lowest in the main group. The attention of operators
carry out the tracking task. Then all operators partici- in the control group was oriented on tracking the spot, as
pated in seven or eight test runs (over the course of a would have been expected. Consequently, when the
month) during which they carried out the tracking task operators in the two groups under comparison began to
as well. their tracking task under g-loading, they differed neither
in tracking precision nor in their acquaintance with
The duration of the tracking cycle was the same in the protective physiological measures, which all of them
first and second series-60 seconds. An SM-2 computer mastered to an equal degree in preliminary runs on the
was used to record momentary tracking error values-a centrifuge. The difference lay in something else: the
total of 3,000 values in a 60-second tracking cycle. After operators of the main group, unlike those of the control
statistical treatment of these data, we determined the group, developed the ability to carry out the indicated
mean (M) and the standard deviation (a) of the tracking forms of activity not only simultaneously, but also in the
error, which served as the criteria of the effectiveness in required hierarchy.
Spot Tracking Precision and Attention Orientation of Operators of the Main and Control Groups
(on Laboratory Testing Unit)
Operator Group Tracking Error (Arbitrary Units) Attention Orientation
Main: M U Constantly on spot tracking
Kh. 18 10 Episodically on tensing of leg and
abdominal muscles
K-v 20 10 As above
B. 24 13 As above
K. 32 21 Constantly on tensing leg and
abdominal muscles; episodically
on spot tracking
Group average 25 16
Control: M 0
S. 18 13 On spot tracking
F. 20 14 As above
D. 27 17 As above
S-n 28 17 As above
Group average 23 16
The importance of this ability was demonstrated by the the required hierarchy may be the only reason for this
results of the second series of tests. As is evident from the difference.
figure, in the presence of +G, acceleration, the spot
tracking precision of operators of the main group was an
average of 1.4 times greater than that of the control The questionnaires revealed that in order to prevent
group. The fact that the operators in the control group visual disturbance under the +G, accelerations, opera-
lacked the ability to combine both forms of activity in tors of the control group were constantly devoting their
JPRS-ULS-90-016
2 October 1990 Aerospace Medicine 5
making its physical and chemical composition similar to pharmacopoeia concentrations (0.4 percent of powder
that of Moscow tap water in terms of the main compo- weight, rather than 20 percent). These substances
nents. However, these tablets did not contain salts included starch, polyvinyl pyrrolidone (PVP), gelatin,
having important physiological significance. The objec- methylcellulose (MC) and calcium stearate. Fillers were
tives of our research were to adjust the salt composition added to increase the binding capacity of salts in the
of Akvasol tablets so that they meet the new hygienic tablets and to increase their slipperiness in the tablet
recommendations and to conduct a series of experiments press. The additives should not affect the physical and
in order to study the possibility of introducing various chemical composition or the transparency of the water.
calcium salts into their composition. After the fillers and salts were mixed together, the
mixture was dried and passed through a sieve. Tablets of
the mixtures containing the indicated chemical ingredi-
Methods ents were made on an Engler laboratory tableting press at
The water solubility of salts (sulfate, gluconate, car- a pressure of 1,200 kg/cm 2 at facilities of the Moskhim-
bonate) at room temperature was studied. Dissolution farmpreparat Chemical and Pharmaceutical Production
time of calcium suspensions in water (with and without Association.
stirring), water transparency, and calcium ion concentra-
tion were evaluated by methods commonly used in Results and Discussion
analytical practice, and the conditions for manufacturing
tablets out of salt powders containing calcium salts Tables 1 and 2 give the results of research on artificial
combined with magnesium sulfate, potassium iodide, mineralization of distilled water by means of powders
potassium chloride and sodium fluoride in the proper and tablets containing sparingly soluble calcium salts
concentrations were studied (using chemically pure combined with fillers. It follows from the data in the
reagents). Various substances commonly used to manu- table that CaCO 3 was unsuitable for artificial mineral-
facture medicines were used as fillers promoting forma- ization of water in connection with its low solubility (it
tion of tablets out of powders, though at less than did not dissolve for 5 days).
Calcium gluconate was found to be the most soluble in it possible to adjust the composition of desalinized water
water. Out of the seven recipes studied, only the combi- to that of drinking water satisfying modem hygienic
nation of calcium gluconate and MC was able to main- requirements.
tain water transparency, while other fillers reduced water
transparency. The dissolution time of calcium gluconate Bibliography
in water (at a calcium ion concentration of 50 mg/liter) 1. Vaynar, A. M., "Biologicheskaya rol mikroelementov
was 35 min with stirring and 7 hr without stirring. A v organizme zhivotnykh i cheloveka" [Biological Role of
considerable increase in bichromate oxidizability in Trace Elements in the Animal and Human Body], 2d
water (up to 430 mg 0 2 /liter) because of the dissolution edition, Moscow, 1960.
of calcium gluconate, which is an organic compound,
was a shortcoming. This was not in keeping with the 2. Gabovich, R. D., "Ftor i yego gigiyenicheskoye
hygienic requirements for drinking water, even though znacheniye" [Fluorine and Its Hygienic Significance],
calcium gluconate is beneficial to the body and is used in Moscow, 1957.
medicinal practice to treat a number of illnesses associ-
ated with deficiency of calcium ions in the body. The 3. Rakhmanin, Yu. A., Bokina, A. M., Pugin, V. P. et al.,
dissolution time of calcium sulfate (CaSO 4 -2H 2 0) in GIG. I SAN., No 7, 1975, pp 16-22.
water was 60-80 min with stirring and 6 hr without 4. Chizhov, S. V. and Sinyak, Yu. Ye., "Problemy
stirring, the water maintained its transparency, the con- kosmicheskoy biologii" [Problems of Space Biology],
centration of calcium ions was 28 mg/liter, and calcium Moscow, 1964, Vol 3, p 104.
sulfate did not affect bichromate oxidizability of water
(chemical absorption of oxygen--CAO, mg 0 2/liter). Of 5. Shikina, M. I., Chizhov, S. V. and Krasnoshchekov, V.
the salts we studied, calcium sulfate was found to be the V., KOSMICHESKAYA BIOL., No 2, 1971, p 28.
most acceptable for inclusion into the composition of the
salt mixture, in combination with sodium chloride, 6. Shikina, M. I., Aladinskaya, T. I., Chizhov, S. V. et al.,
potassium chloride, magnesium sulfate, potassium KOSMICHESKAYA BIOL., No 3, 1984, pp 95-96.
iodide and sodium fluoride. Medium-strength Akvasol-2 COPYRIGHT: "Kosmicheskaya biologiya i aviakos-
tablets were made on the basis of this research. They micheskaya meditsina", 1989
improved the organoleptic properties of desalinized
water and enriched it with a complex of physiologically UDC 629.78:[579.842.11:579.252.55
necessary macroelements and trace elements.
The Mechanism of the Drug Resistance of
The weight of one Akvasol-2 tablet, which can enrich 1 Escherichia in Cosmonauts
liter of water, is 0.5 gin, and dissolution time without 907C0237D Moscow KOSMICHESK4YA BIOLOGIYA
stirring is 12 hours. Water regenerated from peroxide I A VIAKOSMICHESKA4YA MEDITSINA in Russian
solution was similar in composition to distilled water Vol 23 No 4, Jul-Aug 89 pp 90-91
prior to enrichment; after enrichment, it had the fol-
lowing physicochemical composition: total hardness 4.3 [Article by V. K. Ilin]
mg-equiv/liter, calcium ions 64.12 mg/liter, magnesium
ions 13.3 mg/liter, pH 6.25, chlorides 49.7 mg/liter; the [Text] Numerous studies have shown that the risk of
CAO was 3.5 mg 0 2/liter. Thus, Akvasol-2 tablets make falling ill to infectious diseases grows significantly
JPRS-ULS-90-016
8 Aerospace Medicine 2 October 1990
among people in biological isolation. This shows up in strain Escherichiacoli C-600; however, it could be mobi-
the activation of the conditionally pathogenic compo- lized for transfer with the assistance of plasmid R,
nent of human automicroflora, 2' 8 the weakening of the DRD1 9 .
colonization resistance barrier, 9 and the weakening of
the immune system. 4 Intensive microbial exchange After the flight, a large quantity of E. coli cultures
occurs between people occupying hermetically sealed isolated from the main expedition crew were resistant to
spaces. 3 All of these facts attest not only to the possibility tetracycline. Prior to the flight, tetracycline-resistant
of development of infection in people in biological strains were not revealed among participants of the main
isolation, but also to the fact that the prerequisites for expedition, from which we can hypothesize that these
the transfer of the etiological agents of infectious dis- strains appeared in the composition of the intestinal
eases from their source to surrounding people are created microflora of the subjects only as a result of microbial
under these conditions. The value of antibiotic therapy and plasmid exchange with participants of the visiting
of bacterial infections in hermetically sealed spaces expedition. Plasmids isolated from tetracycline-resistant
remains open in this connection. The success of this strains were nonconjugative. Therefore, we hypothesized
therapy may depend on the etiological agent's sensitivity that they are segregants of a polyresistant plasmid,
to antibacterial preparations and on presence of plas- presumably the one which was isolated from one of the
mids providing resistance to antibiotics in the microbial members of the visiting expedition. In order to prove,
population or association in question. this we conducted restriction analysis of tetracycline-
resistant clones of this plasmid, obtained in vitro by the
This paper examines the molecular epidemiological fea- prescribed method (using ethidium bromide action upon
tures of changes in drug resistance of Escherichia iso- polyresistant strains), and tetracycline-resistant plasmids
lated from the intestines of cosmonauts during space isolated from cosmonauts of the main expedition fol-
flight and from subjects participating in a 30-day simu- lowing the flight. Our electrophoretic analysis demon-
lation study. strated that the plasmids in question are completely the
same. This proves the possibility of mutual exchange of
Methods resistant strains containing R-plasmids during space
flight. This conclusion is also confirmed by the fact that
Escherichia strains were isolated from the intestines of production of the same restrictase, an isomer of type 2S
cosmonauts 7 days before flight and on the second day restrictase Eco 311, was determined by both plasmids.
after the conclusion of the flight. An expedition visited
the crew staying aboard the Salyut-7 orbital station on a A similar situation was examined in a 30-day simulation
long-duration space expedition. Isolated strains were study. In this study, a plasmid determining resistance to
studied for their sensitivity to antibiotics having a broad the same set of preparations as in the space flight
spectrum of action: tetracycline, levomycetin, strepto- examined above was allowed to propagate for 7 days in
mycin, kanamycin, neomycin, monomycin, ampicillin, four subjects. This plasmid was eliminated over the
carbenicillin, polymyxin and gentamicin. Sensitivity was course of 12 days of the study. On the 19th day it was not
determined from the minimum inhibiting encountered among strains which were characterized
concentrations. 6 Conjugation was carried out in liquid previously, on the 7th day, by drug resistance and which
nutrient media using Escherichia coli C-600 as the R- contained this plasmid. Eliminants maintained their
plasmid recipient. Plasmids were studied by electro- resistance only to tetracycline. It was concluded from
phoresis in agarose gel. 5 A total of 450 strains of Escher- electrophoretic analyses that the determinant for resis-
ichia were studied. tance to tetracycline was represented by a transposon
associated with the plasmid and inverted following its
Results and Discussion elimination into a chromosome. Restriction analysis
revealed common DNA fragments of the initial plasmid
E. coli resistant to tetracycline, levomycetin, streptomy- and the transposon.
cin, kanamycin, neomycin, monomycin, ampicillin and
carbenicillin was isolated in the largest amounts from the We were unable to insert the initial plasmid into the
intestine of one of the members of the visiting expedi- genome of those strains from which the plasmid had
tion. All determinants were transferred in vitro with a been eliminated over the course of the simulation
frequency of 1 x I0- to 2.5 x 10-5. Isolated plasmids had research; therefore, we hypothesized that this plasmid,
a molecular weight of 65 mD. They had a capacity for which survived in part of the population, was unable to
spontaneous elimination, and different resistance deter- return to its initial hosts, and most likely introduced
minants were eliminated at different frequencies. This itself into the genome of some transient strains alien to
was indirect evidence that the plasmids in question are the biotope in question. Our hypotheses were confirmed,
cointegrates of several plasmids. The determinant for inasmuch as we discovered this plasmid on the 21st day
resistance to tetracycline was found to be extremely of the model research in lactose-negative, hemolytically
stable, and it was eliminated neither spontaneously nor active strains of E. coli which had formerly not possessed
in response to an eliminating agent such as ethidium drug resistance. Restriction analysis of these plasmoid
bromide. The determinant for resistance to tetracycline strains revealed that they contained a plasmid homolo-
was not transmitted upon conjugation of the recipient gous to the initial plasmid.
JPRS-ULS-90-016
2 October 1990 Aerospace Medicine 9
UDC 579.64:631.46 their tissue consists of coarse oval cells with a large
central vacuole, thin walls and a thin parietal layer of
Formation of Nodules on Roots of Carrots cytoplasm. No pathological changes nor bacteria
Inoculated by Azospirillae appeared in the conducting root tissues found in the
907c0385a Kiev MIKROBIOLOGICHESKIY central part of the vacuole. Readily staining polymorphic
ZHURNAL in Russian Vol 51 No 5, Sep-Oct 89 structures, bacteria, appeared frequently in cells directly
pp 11-16 adjacent to the intercellular space. Fissile bacteria
appeared in these cells. The bacteria pass from one cell to
[Article by Ye. V. Nadkernichnaya, A. Ye. Mamchur and another through breaks in the cell wall. Bacteria
V. I. Lokhova; Ukrainian Scientific Research Institute of appeared also in the intercellular spaces and in the
Agricultural Microbiology, Chernigov] invaginations between the plasmalemma and the cell
wall and in voluminous cavities obviously of lysigenous
[Abstract] A study of the capacity of the Azospirillum origin, confined by the thick cell wall. Associative nitro-
genus to cause formation of nodules on carrot roots gen-fixers of A. brasilense 21, penetrating the carrot
involved application of an aqueous suspension of Azos- plant roots, can cause formation of nodules which serve
pirillum brasilense 21, the titer of which was 10' per ml plant ootscan c auserma ondule whicherve
of suspension, to hand sown carrots at the rate of 50 ml as a place of localizing bacteria and are characterized by
per linear meter of area planted in carrots. Electron high nitrogen-fixing activity. Figures 7; references 13:7
microscopic studies of the nodules formed showed that Russian; 6 Western.
JPRS-ULS-90-016
2 October 1990 Biotechnology 11
UDC 616.931:312.2(470.45) interval of half a year. In the last case the infection
source was identified as a female patient that was a
Diphtheria Morbidity in Volgograd Oblast carrier of toxic diphtheria bacillus in the period of the
second outbreak, in connection with which she under-
907C0232 Ashkhabad ZDRA VOOKHRANENIYE went treatment in an infection hospital. A toxigenic
TURKMENISTANA in Russian No 6, Jun 89 pp 32-32 culture was once again isolated from her when she
entered the psychiatric hospital. Among patients who
[Article by V. N. Lazarev, Yu. A. Zheludkov, V. F. came in contact with her, one developed the localized
Obekhov, Ye. A. loannidi and I. Kh. Giniyatullina, form of diphtheria of the mouth, while two became
Department of Infectious Diseases, Volgograd Order of healthy carriers.
the Red Labor Banner Medical Institute] Thus we noted "maturing" of diphtheria infection, pre-
[Text] Growth in the morbidity due to diphtheria infec- dominant morbidity in cities, dominance of sporadic
tion in our country has been noted in the last decade; it cases of illness, and a high proportion of late diagnoses
is associated with a decline in epidemiological alertness owing to absence of epidemiological alertness on the part
and in the level of collective immunity. 1-3 of polyclinic physicians, which results in delay of specific
In Volgograd Oblast, the diphtheria morbidity index has therapy and growth of mortality.
increased since 1981 to 0.63 per 1,000 population. Bibliography
Sporadic morbidity dominated. A total of 58 patients 1 Ye
were registered with diphtheria of the mouth. Most of 1, eremova, L. V. and Astafyeva, N. V., SOY. MED.,
them were between the ages of 17 and 60, with the No 1, 1987, p 89.
average at 20-40 years, and there were eight school-aged 2. Novikov, P. L., ZDRAV. BELORUS., No 9, 1982, pp
children. 60-63.
The infection source was established as an adult patient 3. Pokrovskiy, V. I., "Epidemiologiya, virusologiya,
infected in Siberia. The rest of the patients did not travel infektsionnyye zabolevaniya. Tr. VNIITI" [Epidemi-
outside the oblast. Bacteriological tests of persons with ology, Virology, Infectious Diseases. Transactions of
whom they were in contact did not produce any positive VNIITI], Moscow, Issue 3, 1986, pp 37-45.
results. Diphtheria was recorded mainly among urban
residents. UDC 616.36-002-022.7:578.891]-008.97-078.333:
[578.891:578.74
It was established from an analysis of the disease histo-
ries that the patients presented for medical care
promptly. However, it was not until days 3-6 of illness Incidence of Antibodies to Delta Virus Among
that a diagnosis of diphtheria of the mouth was estab- HBsAg Positive Individuals Various Populations
lished, basically when bacteriological test results were of Region With Moderate Incidence of Hepatitis B
received. Even when a typical clinical picture was 907C0550B Moscow VOPROSY VIRUSOLOGII
present and the disease agent was isolated, patients were in Russian Vol 34 No 6, Nov-Dec 89 (manuscript
sent to the hospital with a diagnosis of lacunar or received 27 Dec 88) pp 675-679
follicular angina plus presence of toxigenic diphtheria
bacillus.
[Article by S. V. Zhavoronok, Vitebsk Medical Institute]
In the hospital, the localized form of diphtheria of the
mouth was diagnosed in 54 patients, while toxic diph- [Abstract] An analysis was conducted on the incidence of
theria was diagnosed in four. Serum and antibacterial HBsAg and anti-delta antibodies (ADA) positive indi-
therapy were carried out with the clinical form, while viduals in Belorussia, an area with a moderate incidence
detoxification and hormonal therapy were carried out in of hepatitis B. Serologic data showed that among blood
the presence of toxic forms. Antidiphtheria serum was donors the HBsAg positive rate was 4.3 percent, with 3.3
not injected into the mouth of admitted patients after the percent positive for ADA. The incidence of HBsAg or
inflammatory process abated. Patients were released ADA positive individuals among medical personnel was
after the established time if the bacteriological test result 14.1 and 8 percent, respectively. In addition, 39.7 per-
was negative. Repeat isolation of the disease agent did cent of familial contacts of HBsAg positive individuals
not occur, and the patients did not become chronic were themselves positive for HBsAg, while 6.8 percent
carriers as a result of sporadic morbidity. Four patients were positive for ADA. A positive rate of 14.3 to 35.5
with toxic forms of degree I-III diphtheria of the mouth percent was observed for ADA and HBsAg among
died. The cause of death was diffuse myocarditis, while patients with tuberculosis, rheumatoid arthritis, diabetes
one patient additionally suffered paralysis of respiratory mellitus, and hematologic conditions. Finally, 55.8 per-
musculature. cent of the patients with active chronic hepatitis and
cirrhosis were HBsAg positive, while 42.5 percent were
Three outbreaks of diphtheria infection were recorded in positive for ADA. Considering the fact that the respec-
this period in a psychiatric hospital. Five patients fell ill tive seropositive results for HBsAg and ADA in patients
in 1982, and 2 years later another eight fell ill, with an with acute hepatitis B were 90.8 and 5 percent, the
4 ___
JPRS-ULS-90-016
2 October 1990 Epidemiology 13
[Abstract] Lung suspensions prepared from 8,061 The recently observed rise in the incidence of zoonotic
rodents and insectivores representing 23 species were and natural-focal infections and the specific changes in
assayed for hemorrhagic fever with renal syndrome their epizootology and epidemiology have dictated the
(HFRS) antigen between 1984 and 1987 in order to need to improve measures to control those infections.
determine the carrier rate in the northwestern regions of An important element of anti-epidemic measures that
European USSR. The study, encompassing northwestern are presently being undertaken is the epidemiological
RSFSR, Estonia, Latvia, and Lithuania revealed that the monitoring of such infections. This may be defined as a
incidence of HFRS positive animals was 2.7 percent. multifaceted study of a specific disease, its hosts and
Serotype 1 was the dominant subtype, followed by sero- etiological agent carriers, the degree of the population's
type 2. The findings confirmed the fact that this area of susceptibility, and the entire complex of natural and
the USSR constitutes a natural endemic focus of HFRS. social factors that determine the incidence of infections
Tables 1; references 3 (Russian). among animals and humans.
Epidemiological monitoring is the basis for the rational zoonotic infection focal points in its present form, how-
planning, implementation, and evaluation of the effec- ever, requires improvement. At the present time such
tiveness of measures taken to control these diseases. investigations are not undertaken in connection with
Such monitoring also provides for the efficient adjust- diseases in animals creating a risk of human infection,
ment of anti-epidemic measures and periodic fore- but rather after human infection has been identified. In
casting. The practice of epidemiological investigation of the case of zoonotic infections investigation of the nidal
JPRS-ULS-90-016
14 Epidemiology 2 October 1990
area must be undertaken from the moment that the course of lambing, shearing sheep, and cleaning of live-
potential source for human infection is identified, i.e., as stock buildings at defectively maintained farms. Viola-
soon as a sick animal is discovered and as soon as an tions of anti-brucellosis procedures have been detected
identification is made of infected carriers or transmis- at reprocessing enterprises. According to data from the
sion factors that can contribute to the risk of human medical-epidemiological service of the republic, anti-
infection, the investigation must take on an epizootolog- brucellosis rules have been violated at 48.9 percent of the
ical-epidemiological character, farms and at 24.5 percent of the enterprises that had
been investigated.
A network
stations andof6 specialized anti-plague
scientific-research institutions
institutes) and (29
177 According to the data obtained from an investigation of
human brucellosis infections, up to 50 percent of the
departments for particularly dangerous infections at afflicted persons were infected by animals of private
medical-epidemiology stations has been organized to
medial-pidmiolgy
tatons as eenorgaize to farms. The control of cattle diseases at private farms is
undertake daily measures for the prevention of natural- cmpli catene ofsacet iveto f
focal, zoonotic, and a number of other particularlycomplete inventory of
dangerous infections in the country. This kind of this category of animals. Sporadic brucellosis infections
branched system of institutions situated in the territory are recorded primarily although group infections also
of natural breeding grounds of the plague, tick-borne take place. Thus, 97 persons were afflicted in the Mold-
ofenaturaltreeding gronoti
m s ofuthneoplagetick rni, avian SSR in 1978. The source of the infection was
encephalitis, zoonotic mucocutaneous leishmaniasis, found to be brucellosis-infected cattle brought from
and tularemia makes it possible to maintain constant U n bbrucelis-In
ao F ebrua ght fr-
epidemiological well-being in a territory of the country. Uzbekistan and Turkmenia. In February, 1983 24 per-
The currently operating system of monitoring natural sons became ill in the Buryat ASSR. In 1986 43 persons
breeding areas of the plague in the USSR constitutes an were afflicted at the sovkhoz im. Frunze in the Talgar-
example of the effective practical implementation of skiy Rayon of the Alma-Ata Oblast of the Kazakh SSR,
epidemiological monitoring of zoonotic infections. The and in the same year 30 persons were infected in the
direct subordination of the anti-plague institutions to the Talky-Kurganskiy Rayon in the village Karabulak.
USSR Ministry of Health makes it possible to maintain Group morbidity of leptospirosis continues to be
a high state of anti-epidemic readiness and mobility on recorded in the country. In 1983 an outbreak was
the part of this important link of the medical- recorded in the Orenburg Oblast that affected 394 per-
epidemiological service. The specialized anti-epidemic sons. In 1988 two major nidal areas were recorded: one
brigades (SAEB), staffed by highly qualified specialists in Perm (48 persons infected) and the other in the
and provided with the essential required equipment that Taldy-Kurgan Oblast of the Kazakh SSR (68 persons).
are now located in a number of anti-plague institutions,
within in a period of five to six years may be organized In spite of the anti-epidemic measures undertaken by the
in an any new breeding ground of particularly dangerous public health and veterinary science authorities, the rate
infections. Examples of such undertakings are the selfless at which Siberian morbidity was being reduced has
action taken by SAEB associates during the cholera slowed. Group cases of this infection continue to be
epidemic difficulties in the 1970's and in the areas of the recorded.
Armenian earthquake in 1988 - 1989.
The leading role played by animals at private farms as a
Measures to control zoonoses can be made more effec- source of human infection (70 percent) is creating signif-
tive only if there is close cooperation between the var- icant difficulties in the prevention of human illnesses.
ious interested departments and institutions, especially The incomplete recording and inclusion of animals from
between the veterinary and medical science institutions private farms for preventive vaccination procedures and
and practitioners. This kind of cooperation will provide the homestead slaughter of animals constitute one of the
for a more effective utilization of funds, personnel, and principal reasons for human Siberian ulcer infections.
equipment, and what is particularly important, the
exchange of information about animal and human dis- An analysis of human Siberian morbidity for the last two
eases. Such cooperation will also be conducive to the decades in the USSR indicates that it has primarily been
coordination of efforts undertaken in anti-epidemic and of an outbreak nature in the qualitative sense since only
anti-epizootological operations. about 65 percent of the cases were represented by group
infections, i.e., associated with a common source of
infection. Thus, in 1973 the largest outbreak took place
The morbidity rate of human brucellosis is still consid- in the Severnyy sovkhoz of Pavlodar Oblast of the
erable, in spite of the efforts undertaken to reduce that Kazakh SSR where one of the ten afflicted persons died.
rate. This reflects the unsatisfactory epizootological sit- In 1976 there were 13 outbreaks in six union republics.
uation in the country. Furthermore, five of the 37 infected persons in the
Turkmen SSR died, and nine of the 37 afflicted person in
The highest brucellosis morbidity rate in the USSR is in Karakalpakia succumbed to the disease. In 1979 there
the Kazakh SSR where it accounts for more than 40 was an outbreak in Sverdlovsk involving 96 persons. In
percent of all ill persons. As a rule, human infection 1984 13 persons were infected in one of the kolkhozes in
occurs during the care and maintenance of animals in the the Dzhambul Oblast of the Kazakh SSR, and in 1986 a
JPRS-ULS-90-016
2 October 1990 Epidemiology 15
group infection involving 14 persons was recorded in the sick animals plays a leading role in reducing the mor-
Pushkinskiy Rayon of the Azerbaijan SSR. In 1988 23 bidity rate of animal-borne human infections. Measures
persons became ill in the Degtyan sovkhoz of the Sos- for the individual protection of the population must play
novskiy Rayon of Tambov Oblast, and 14 persons were an important role in the prevention of natural-focal
infected in the village Gaurdak of the Turkmen SSR. infections along with measures aimed at suppressing the
epizootic process in natural breeding grounds in order to
The sources of infections in the nidal areas involving make them non-infectious. A real reduction in zoonotic
group illnesses were established in 100 percent of the infections can only be accomplished through the realiza-
cases. The reason for the outbreaks in a number of cases tion of the entire complex of measures aimed at reducing
was the public sale of meat from forcibly slaughtered animal morbidity.
animals without a veterinary certification. COPYRIGHT: Izdateistvo "Meditsina", 1989
Among the rickettsiosis infections a clearly pronounced
zoonotic infection is Q fever which accounted for up to
30 percent of this group's morbidity rate. About 600
persons are infected by this disease every year, and group
outbreaks have been recorded. Thus, in 1983 242 per- Epidemiology of HIV Infection in USSR
sons were afflicted as a result of air-borne infection in the 907C0689A Moscow ZHURNAL MIKROBIOLOGII,
Voronezh Oblast. Down from goats with Q fever was the EPIDEMIOLOGI!I IMMUNOBIOLOGII in Russian
means of transmission. A similar situation occurred in No 2, Feb 90 (manuscript received 12 Jun 89) pp 26-29
the Volchikhinskiy Rayon of the Altay Kray where 93
persons were infected.
[Article by V. V. Pokrovskiy, I. Yu. Yeramova, V. P.
An analysis of group human infections common to Arzamastsev, V. A. Nikonova, and G. I. Mozharova,
humans and animals demonstrated that as a rule, they Central Scientific Research Institute of Epidemiology,
are associated with gross violations of veterinary laws USSR Ministry of Health, Moscow]
and rules.
[Text] Human immunodeficiency virus (HIV) infection
The activation of natural breeding grounds of hemor- is now incident on all continents. However, most coun-
rhagic fever and tularemia in a background of unsatis- tries of the world have recorded only cases of the
factory sanitary and anti-epidemic procedures such as advanced acquired immunodeficiency syndrome (AIDS)
the deficient control of rodents, unsatisfactory protec- that is marked by a special clinical picture. This kind of
tion of water wells, and poor immunoprophylactic pro- epidemiological surveillance not only makes it difficult
cedures, results in group illnesses with these infections, to evaluate the true incidence of infection, but also
The clearest example of this might be the outbreak of makes it impossible to undertake early anti-epidemic
tularemia in the Bogdanovskiy Rayon of the Georgian measures. A program for the active identification of
SSR where 277 persons became ill simultaneously as a HIV-infected persons and a system for their compulsory
result of a contaminated local water source. registration have been in effect in the USSR since
September 1985. Since January 1988 comprehensive
A rise in the number of persons afflicted with hemor- records have been kept at a special scientific research
rhagic fever with renal syndrome (HFRS) was noted in laboratory on AIDS epidemiology and prevention of the
the beginning of the 1980's in the RSFSR. Thus, 3,411 USSR Ministry of Health Central Scientific Research
cases were recorded in the republic in 1980, 4,532 cases Institute of Epidemiology on data concerning all
in 1983, and 11,424 cases in 1985. An analysis of the research undertaken and all persons identified with HIV
situation showed that the reason for the sharp rise in antibodies.
morbidity was the unsatisfactory application of planned
prophylactic measures and the lack of proper coordina- Materials and Methods
tion between the medical and veterinary services. Data on monthly investigations are transmitted in
Thus, the primary tasks in preventing outbreaks of writing or by telegraph employing a specially designed
zoonotic and natural-focal infections include the form of statistical reporting.
unfailing fulfillment of anti-epizootic and medical- Information was received from a total of 338 institutions
epidemic control requirements and veterinary-farm between January 1988 and March 1989. These included
measures by farm authorities with the absolute support 182 blood transfusion stations, 16 epidemiological-
of local Soviet authorities, medical stations, 74 clinical hospitals, I infection hos-
pitals, 15 skin and venereal diseases clinics, 30 scientific
It is essential to note that the vaccination of people in the research institutes, five anti-plague stations, and from
event of zoonotic infections constitutes only one of the five other institutions.
auxiliary measures for affecting the epidemic process.
The eradication of the sources of infectious etiological The data received were processed by a specially designed
agents by the specific prevention of illnesses among automated system for processing data on testing the
healthy animals and the sanitization (or slaughter) of USSR populace for HIV antibodies.
JPRS-ULS-90-016
16 Epidemiology 2 October 1990
Table 2. Results of Testing USSR Populace for HIV Antibodies from Jan 1, 1988 through Mar 31, 1989
Contingent Number of persons Number of persons with HIV antibodies Number of persons with HIV antibodies
tested (enzyme-linked assay) (Western blot)
total % total %
Persons with HIV antibodies were given a special ques- eigners as compared to 1985. The total data picture on
tionnaire in order to identify the risk factors of infection an examination of the native population of the USSR in
and infected contact persons. 1988 is given in Table 2. In addition, 275 HIV-infected
foreigners were identified during that period. All of those
Results and Discussion persons were examined in connection with the fact that
Table 1 presents data on persons identified with HIV they had arrived in the USSR for a stay of more than
antibodies and AIDS patients in the USSR during the three months.
period of 1985 to 1989. In 1989 the number of infected The results of the Soviet citizen examination show that
Soviet persons increased in comparison to infected for- HIV infections were encountered rarely in 1988. This is
JPRS-ULS-90-016
2 October 1990 Epidemiology 17
convincingly indicated by the extremely low indices for indicator). The absence of infected persons among drug
blood donor and pregnant women infection rates, addicts cannot be fully explained. Apparently, few of the
addicts who were examined had been injecting drugs
At the same time the incidence of infected persons intravenously or this method of drug administration is
among the risk groups such as homosexuals and venereal relatively rare in the USSR. However, it is also possible
disease patients exceeded the average figure for the that the virus has yet not reached into the drug addict
entire population by 13 and 5 times, respectively. The population in the USSR. The risk of infection among
identification of infected persons by clinical indications those who spent more than three months abroad is also
has been effective (119 times higher than a general somewhat elevated.
Table 3. Incidence of HIV-Infected Citizens of the USSR Identified by Risk Factors as of April 12, 1989
Basic risk factor Number of infected persons
total male female
Homosexual relations:
total 45 45 0
with Soviets and foreigners 8 8 0
The most effective method for identifying infected per- men (33.3 percent). A significant proportion of infec-
sons was the epidemiological investigation of identified tions was during the administration of parenteral proce-
HIV-infection cases which enabled the identification of dures (25.8 percent) and viral transmission among
100 out of 159 infected persons (62.9 percent). The most homosexuals was only in third place (22.7 percent).
instructive episode demonstrating the effectiveness of
combining epidemiological surveillance with epidemio- There were no recorded cases of HIV transmission via
logical investigation was the disclosure of an intra- blood transfusions in 1988 (see Table 1). All 11 cases (5.7
hospital HIV-infection outbreak in the city of Elista. percent) occurred in previous years. The large number of
This enabled us to establish a connection between two women infected via the heterosexual route accounts for
independent cases of discovered HIV-infections as the relatively large percentage (5.2 percent) of infected
reported in the special scientific research laboratory on children born to those women.
AIDS epidemiology and prevention (this epidemiolog- The data demonstrate that the true risk factors for most
ical investigation will be published in a separate report). infected persons are still the unknown persons and these
individuals are not subject to compulsory observation.
The results of the epidemiological investigation of HIV- In that connection, although the epidemiological surveil-
infection cases identified as of April 1989 in the USSR lance system now existing in the USSR can be consid-
are given in Table 3. Heterosexual transmission of HIV ered sufficiently effective, one should not think that the
was shown to be the predominant means of transmission transmission of the virus among the population can be
in the USSR (27.3 percent of the infection cases) both completely arrested by identifying the infection sources.
from men to women (66.7 percent) as well as women to It is rather difficult to determine the accuracy with which
JPRS-ULS-90-016
18 Epidemiology 2 October 1990
the current epidemiological surveillance system charac- In spite of the rather low incidence of HIV-infections in
terizes the incidence of HIV-infections among USSR the USSR, one can already say that there is the beginning
citizens. It is not clear how many blood donors and of an epidemic which could take on menacing propor-
persons from other groups were examined repeatedly tions within a few years without a combined anti-
(donors are examined before each donation of blood), epidemic and prophylactic effort that particularly
Since the persons identified during an epidemiological instructs the public in safe sexual behavior.
investigation cannot be counted in estimating the infec-
tion rate for the whole population, the actual number of Conclusions
infected persons in 1988 in the USSR where there are
285 million inhabitants, could range from 700 to 2,000 1. The beginning of HIV-infection prevalence among the
by the beginning of 1989. In that case one should also USSR population has been noted.
take into consideration the fact that all of the sexually
transmitted HIV-infection cases occurred in the major
cities (Moscow, Leningrad, Odessa, Minsk, and Kiev) 2. In 1988 HIV-infections were predominantly incurred
and that there were no recorded cases in three out of the via heterosexual and parenteral routes.
four Central Asian republics, in Georgia, Azerbaijan,
and in Russia beyond the Urals. COPYRIGHT: Izdatelstvo "Meditsina", 1990
JPRS-ULS-90-016
2 October 1990 Genetics 19
Preparation of Purified, Concentrated Human [Abstract] A comparative study was conducted on inter-
Interferon from Namalwa Cells feron induction by the immune response modifier inosi-
plex [sic] and its derivative, ASK, in 12-14 g male CBA
907C0550H Moscow VOPROSY VIRUSOLOGII mice, in conjunction with natural (phage f2 dsRNA) and
in Russian Vol 34 No 6, Nov-Dec 89 (manuscript synthetic inducers (poly-G:C). Maximum serum levels of
received 12 Dec 88) pp 711-714 250 U were obtained when inosiplex was administered
in a dose of 25 mg/mouse 4 h before 100 pg/mouse of
[Article by N. L. Melnikova, N. R. Shukhmina, E. R. poly-G:C, with interferon persisting at that level for 3
Pille, V. V. Zverev, L. V. Isayevich, T. I. Kuzmina, A. I. days. Even longer persistence of similar serum interferon
Shchipanova, Yu. F. Maychuk and 0. G. concentrations were obtained with ASK. In the latter
Andzhaparidze, Scientific Research Institute of Viral case high interferon titers persisted for 7 days when 25
Preparations, USSR Academy of Medical Sciences; mg/mouse of ASK was administered 4 h before 50
Moscow Scientific Research Institute of Eye Diseases pg/mouse of poly-G:C. Figures 5; references 16: 6 Rus-
imeni Helmholtz] sian, 10 Western.
JPRS-ULS-90-016
2 October 1990 Laser Bioeffects 21
[Article by I.N. Ushkova, L.A. Pokrovskaya, L.P. Rodi- and recovery of reticulocyte counts by day 30. In addi-
onova, G.N. Kuzminskaya, L.L. Goncharova, I.N. tion, blood chemistries indicated depletion of antioxida-
Makarova, N.Yu. Malkova and G.N. Sergeyeva, Scien- tive mechanisms. The subthreshold dose induced cor-
tific Research Institute of Labor Hygiene and Occupa- neal damage in 50 percent of the rabbits, hypotension,
tional Diseases; Sanitary Hygienic Medical Institute, and other analogous but less pronounced changes seen
Leningrad] with the higher dose. The basic mechanism of action of
the laser was attributed to thermal effects on the nerve
[Abstract] Male chinchilla rabbits were utilized for fur- endings in the cornea, resulting in systemic alterations
ther assessment of the biological effects of CO 2 lasers via the central nervous system. Tables 2; references 3
(10.6 gim wavelength) currently finding wide medical (Russian).
JPRS-ULS-90-016
22 Marine Mammals 2 October 1990
UDC 591.513.5:599.537 The dolphins were tested for the ability to orient them-
selves by the relative position (right-left) of two identical
objects, one of which was an irritant, and remember the
Ability of Bottle-Nosed Dolphins To Generalize signal significance of the relative sign in changing con-
by Relative Sign ditions, and for the ability to abstract, isolate, and
907C0624A Moscow ZHURNAL VYSSHEY generalize the sign of any other pair of objects in the
NERVNOY DEYATELNOSTI IMENI L P. PA VLO VA same spatial arrangement without new training. In the
in Russian Vol 40 No 1, Jan-Feb 90 (manuscript second stage of experiments, the initial objects were
received 4 Jan 89; after revision 13 Sep 89) pp 44-51 replaced by others differing from the former in their
shape, size, material, etc. The dolphins were able to
[Article by D. A. Fless, Yu. D. Starodubtsev, and Ye. M. differentiate as a signal the relative spatial sign "right-
Starodubtseva, Chair of Physiology of Higher Nervous left" in changing conditions, indicating that they have a
Activity, Moscow State University imeni M. V. high level of integrative brain activity. They also mani-
Lomonosov] fested the maximum degree of abstraction and generali-
zation thought possible by an animal: the ability to
[Abstract] The ability of two female bottle-nosed dol- choose between two objects "to the right and to the left
phins (Tursiops truncatus ponticus) to isolate and gen- in general". Figures 2; references 20: 19 Russian, 1
eralize according to a spatial relative sign was studied. Western.
SI I I I
JPRS-ULS-90-016
2 October 1990 Medicine 23
UDC 615.477.8:615.281.03].07 occurred within one to three days. As a rule, the role of
chemical substances in alopecia has been underesti-
Sanitary-Chemical Study of Polyvinylstyrene mated. At the same time, the possible effect of chemical
Antimicrobial Films substances should always be considered to be a probable
reason for inexplicable hair loss. Mercury, thallium,
907c0279b Moscow boron, and bismuth poisonings are most frequently the
KHIMIKO-FARMATSEVTICHESKIY ZHURNAL cause of symptomatic hair loss.
in Russian Vol 23 No 8, Aug 89 pp 979-982
Mercury poisoning occurs accidentally in the course of
[Article by Z. K. Baykova, L. I. Petrova, V. Ya. Bogo- everyday activities or through the use of cosmetics. For
molnyy, Okhtinsk "Plastpolimer" Scientific-Production example, some bleaching creams contain mercury and
Association, Leningrad] when they are applied to the skin there can be significant
[Abstract] Viniplen, a polymer film made from polyvinyl transcutaneous absorptionbyresulting
that can be accompanied in diffuse
such systemic hair loss
symptoms as
alcohol and used to treat donor sites in skin transplant weight loss and excitability. In afflicted children, usually
mnt toitwo yearsite condion begins
been found
operations, has protctin I mets ashea film
quite effective
o wondsandburn.
for
equre- aged foms
aged from six months to two years, the condition begins
protection of wounds and burns. It meets the require- with an inexplicable fever, excitability, and hypotony.
meats of limited swelling and solubility in water. This The palms, feet, and nose swell, redden, and soon after
article studies PVS films containing dioxidin and cat- begin to peel. There is profuse perspiration and hair loss
apol, to determine their suitability for medical use. The which can become pronounced. Finger and toenails may
main criteria used in the study were the content of also be shed [2]. The mercury level in the urine can be
substances used or formed in their manufacture in used to establish a proper diagnosis.
extracts from the films, such as vinyl acetate, acetic acid
and ethanol, which could have biological effects. The Salts of thallium are used in rodent control, in the
films were found to have satisfactory sanitary-chemical manufacture of luminescent compounds, and can be
properties similar to Viniplen, which does not contain used to increase the octane number of gasoline. Thallium
the antimicrobial substances, compounds that enter the body through the small intes-
UDC 616.594.14-02:615.2/.3 tine, the respiratory pathway or through the skin rapidly
accumulate in the muscles, liver, small intestine, and at
a rather slow rate (over a period of three to sixteen
Toxic Alopecia in Chernovtsy weeks) in the hair. Thallium attacks the central nervous
907C0607A Kiev VRACHEBNOYE DELO in Russian system, the digestive tract, and kidneys, and causes hair
No 1, Jan 90 (manuscriptreceived 24 Jan 89) loss. A toxic dose of thallium is 8 mg/kg. Symptoms of
pp 102-104 such poisoning include polyneuritis with hyperalgesias,
convulsions, insomnia, disturbance of the digestive
[Article by L. D. Kalyuzhnaya, L. A. Dereveyanko, and tract, psychic disturbances, cataracts, inflammation of
0. V. Snitsarenko, Department of Pediatric Dermatov- the iris, scotoma, and loss of vision.
enerology (Head - Docent L. D. Kalyuzhnaya), Kiev
Institute for the Advanced Training of Physicians] Thallium salts have been used to control profuse perspi-
ration in tuberculosis patients in which case the depila-
[Text] Hypotrichoses are classified into congenital tory action of the compounds has been manifested. The
(hereditary ectodermal dysplasias, structural hair alter- salts have also been used in the treatment of trichomy-
ation such as monilethrix, trichoclasia, etc.) and cosis, either as an external plaster or administered orally.
acquired types. The more frequently encountered forms Following total baldness, hair again begins to grow in the
are acquired hypotrichoses which are in turn divided pilose areas of the head [1]. In animal experiments
into cicatricial (scleroderma, Brock's pseudoalopecia, alopecia started two to three weeks after the ingestion of
discoid lupus erythematosus, atrophic lichen planus, thallium. Signs of thallium poisoning include nausea,
mucinous alopecia, scalp traumas) and non-cicatricial vomiting, lassitude, ataxia, tremors, alopecia, fatigue,
forms. Among the non-citracicial alopecias, one should and pain in the feet. When small doses of thallium are
distinguish the symptomatic alopecias, alopecia areata present alopecia may be a diagnostic symptom regardless
as well as often encountered trichotillomania, children's of whether it is combined with other manifestations.
inclination to hair-pulling. Alopecia areata is the most
prevalent form of alopecia and is found in 5 to 15 Boron compounds may frequently enter a body acciden-
percent of children. Symptomatic alopecia may be a sign tally such as during the intensive application of patented
of various kinds of intoxication (severe infectious dis- agents for mouth washes. There have been descriptions
eases, poisoning by heavy metal salts, ingestion of drugs of alopecia resulting from the vocational contact with
such as anticoagulants, cytostatics, borates, thyreostat- sodium boride. Alopecia develops gradually in boron
ics, cholesterol-reducing preparations, and hypervitami- poisoning and is diffuse in nature.
nosis A). Bismuth preparations that are used in the treatment of
During August through November 1988, there were syphilis are believed to induce diffuse alopecia. There-
cases of diffuse alopecia in children whose onset fore, in October, when two to six children were afflicted
JPRS-ULS-90-016
24 Medicine 2 October 1990
every day, on the basis of an analysis of the case histories day and on the cut free edge of the nail plates. Therefore,
and the clinical picture we presumed the children were much depended upon the correct selection of materials
poisoned by an active chemical agent. for study. Following a careful depilation procedure,
thallium was detected by the atomic absorption method
At the end of October the children were hospitalized at on November 8 in an eight-year old male patient who
pediatric clinics in Moscow and Kiev. Toxic alopecia was admitted the clinic on October 26, 1988. Following
was identified in 132 children. Eighty-three children who the first positive reaction by the epilatory method,
came from Chernovtsy to the Kiev Scientific Research examination material was taken from children with
Institute of Pediatrics, Obstetrics and Gynecology were initial growth of hair as well as shavings of nail plates in
under our observation. Large groups of the patients were the growth region of children in whom hair loss had
hospitalized from October 26 to November 25. We had begun two months ago.
the impression that the morbidity was not decreasing.
However, upon examining the children and questioning In order to establish the degree of intoxication the
the parents, we found out that the number of children children were seen by a pediatrician, a gastroenterolo-
with the hair diseases who were being brought to the gist, an allergist, an otorhinologist, a stomatologist, a
clinics abruptly increased as the alarm of the city's neuropathologist, a psychiatrist, a toxicologist, an infec-
residents became greater. Among the admitted children tious disease specialist, and endocrinologist. A detailed
were 18 with various forms of alopecia areata, two with study was made of immune status, hemograms, and
trichotillomania, and one without any hair loss (fear on kidney function. Remote thermography, electroenceph-
the part of the mother). alography, rheoencephalography and ultrasonic exami-
nation of the liver and pancreas were undertaken as well
Sixty of the admitted patients were diagnosed as suf- as the measurement of daily catecholamine excretion
fering from toxic diffuse alopecia. A little girl who was and blood thyrotropic hormone. The results of these tests
brought into the clinic on November 25 had lost her hair indicated a few cases of cholecystoangiocholitis, reactive
on October 20 but her grandmother did not take her to hepatitis, gastroduodenitis, bronchitis, and eosinophilia.
the doctor. There were many more cases where children Hallucinations were short-term in three children with
were not taken to a physician until five to fourteen days childbirth trauma or encephalopathy. The amount of
after losing their hair. This led us to doubt the analysis of thallium that entered the body could be considered so
the morbidity rate that was compiled on the basis of the insignificant that alopecia turned out to be the first and
frequency of visits to physicians. The medical history only symptom of the disease. In the case of negative
and clinical picture had characteristic features in toxic findings (absence of thallium in the hair), poisoning was
alopecia. In children the hair was loss was intensive on induced by another active chemical agent (possibly
the pilose part of the scalp. Upon touching the hairs they boron or its compounds). If the patient was given
could easily be removed from the follicles. Over a period unithiol two days after the onset of hair loss, a small
of one to three days the long hairs fell out completely. amount of hair was retained. This indicates that heavy
Therefore, the morbidity rate had to analyzed within metal salts were the cause of alopecia.
precise periods of hair loss, and not by the frequency of
visits to physicians. Our analysis allowed us to conclude The patients received the following treatment at the
that the last case of toxic alopecia was recorded on clinic: methionine (which elevates the blood level of
November 14, and not on December 1, was recorded in cystine and facilitates the removal of a chemical agent),
the reports. geroton, phytin with calcium glycerophosphate, essential
oil, ATP, aloe, massage of the pilose region of the scalp,
The clinical picture was the same for all of the 60 external application of naphthalane alcohol, and Kena-
afflicted children aged three months to 10 years for log. Two to three weeks after the hair loss, the hair
whom the presumed diagnosis was toxic alopecia. The spontaneously was restored, which is also typical of
overall health of the patients was not impaired. The thallium alopecia.
pilose portion of the scalp was devoid of long hairs while
lanugo was retained on the trunk and head. Bristly hairs The considerable number of patients with alopecia
did not fall out. Fine hairs 0.5 - 3 cm in length were areata who were admitted to the clinic and subsequent
retained on the border of the pilose region of the scalp calls for consultation to other cities of the Ukraine
and around the temples in all of the patients. Some of the necessitated a study of this pathology. Alopecia areata
patients exhibited leukonychia. Upon a close examina- can begin at any age. One or several initiating areas
tion of the hair that remained after an injection of about the size of a five-kopeck coin appear on the pilose
unithiol, we could see black inclusions which appeared part of the scalp. The skin in the initial affected area is
under the microscope to be flask-shaped or spindle-like not altered, but is pale and around the skin is a "zone of
in form that were located on hair shoots at a distance of loosened hair" up to 1 cm wide. The foci grow around
one to five millimeters from the skin surface. When the the periphery and converge among themselves. Sponta-
hairs were pulled they easily broke off at the level of the neous regression can take place in 45 percent of the
darkened areas. When the hair was tested for thallium children. In severe cases the disease progresses and
content in order to confirm the diagnosis of thallium becomes total. When long hairs are absent, the lanugo,
alopecia, the results were negative inasmuch as the tests eyebrows and eyelashes fall out and sometimes onychod-
were made on the hairs that had fallen out on the first ystrophy follows. The disease may be associated with
JPRS-ULS-90-016
2 October 1990 Medicine 25
chronic foci of focal infection that are frequently tonsil- thinning sections of hair can reach considerable dimen-
logenic an odontogenic, helminthic invasion, and endo- sions. In the course of establishing a diagnosis attention
crinopathies. The disease may also follow stress, emo- should be given to the characteristics of the course (rate
tional experiences, and severe influenza. A neurotrophic of hair loss) and clinical aspects (absence of long hairs
version of primarily hypothalamic syndrome is observed only) of toxic alopecia. Only a dermatologist should
in the case of total alopecia. Therefore, such patients establish the final diagnosis in any case of alopecia.
should be examined for enterobiasis and toxoplasmosis, Bibliography
and should be seen by an otorhinologist, stomatologist,
psychoneurologist, and endocrinologist. In the case of 1. Kishkin, P. N., "Dermatomykozy" [Dermatomy-
helminth poisoning, the foci could be small, up to 1 - 15 coses], Medgiz, Moscow, (1950).
kopeck coin, resembling "moth-eaten fur" in syphilis 2. Ruk, A. and Dauber, R., "Bolezni volos i volosistoy
cases. In addition, children may also exhibit trichotillo- chasti golovy" [Diseases of the Hair and Pilose Region of
mania where a child, involuntarily, without a pen or the Head] (trans. from English), Moscow, (1985).
pencil in hand, twists hair around his finger and pulls the COPYRIGHT: Izdatelstvo "Zdorovya", "Vrachebnoye
hair and pulls or breaks off eyebrow or eyelash hairs. The delo", 1990
JPRS-ULS-90-016
26 Microbiology 2 October 1990
[Article by T. V. Koronelli and S. G. Yuferova] [Abstract] The waste water of a factory producing simple
oligoesters was studied with the intent of finding micro-
[Abstract] The advantages of biosurfactants-stability organisms that use oligoesters as a source of carbon and
over broad ranges of temperature, pH, salinity, degrada- energy and thus purify waste water. Only five percent of
JPRS-ULS-90-016
2 October 1990 Microbiology 29
the 120 bacterial clones obtained from'a synthetic nutri- Institute of Microbiology and Virology, Ukrainian
tive culture metabolized the substrate in less than 24 Soviet Socialist Republic Academy of Sciences, Kiev]
hours. The rate of oxypropylated glycerin degradation by
the bacterial strains is not related to the amount of
biomass forming, but is rather associated with the total [Abstract] The application of a suspension of methane-
dehydrogenase activity of the cell. Pseudomonas sp. 66 oxidizing bacteria, Methylomonas rubra and Methylo-
was selected from the six most active strains for further coccus thermophilus, to rocks in coal mines has been
research. Its optimum pH was between 7.0 and 8.0, suggested as a means of eliminating the methane gas that
though it was viable from 3.0 to 11.0. The temperature accumulates in the mines. The number of bacteria
substantially affects the duration of the growth phase, as adhering to the rocks increases in time, reaching 60-90
indicated by the fact that decreasing the fermentation
temperature from 30*C to 22C results in a 73 percent percent at 3 hours of contact, with Mm. rubra demon-
increase in the yield of biomass. Increasing the cultiva- strating more mobility than Mc. thermophilus. The
tion temperature to 38C is accompanied by biochemical smaller-sized particles were much more adhesive than
alterations in the cell membrane with a decrease in the the larger ones, and the total number of particles that
secretion of some proteins and subsequent accumulation adhered to the rocks was proportional to the concentra-
of them in the cells. The microbial purification of local tion of cells in the suspension. The methane-oxidizing
industrial waste water can be organized, with the bio- bacteria adhere more quickly to coal than the rocks.
mass obtained used as fertilizer. Figures 1; tables 2; More effective means of immobilizing methanotrophs
references 5 (Russian). on rocks need to be sought for oxidizing methane in coal
UDC 579.841.11.083.3 mines. Figures 4; references 17:13 Russian, 4 Western.
[Abstract] The health risks associated with meteorolog- inhibitory processes, reduction in the ar-index, the latent
ical radar may be controlled in two ways. In one period for ar-rhythm desynchronization, and in the latent
approach technological improvements are intended to periods of conditioned responses to simple sensory
provide superior radar capabilities without an increase motor stimuli. None of the memory parameters were
in the strength of the electromagnetic field (EMF) in a affected. In the case of 90 min exposure variable changes
given vicinity. In the second approach the probability of were also noted in function of cutaneous cold receptors.
a health risk is correlated with the strength of the EMF in These observations underscored the unique lability of
setting acceptable limits on the latter. Under the best of the CNS vis-a-vis 50 Hz electric fields, and that fact that
circumstances, introduction of a new radar installation with longer exposures higher hierarchical levels of the
may actually reduce the risk if it replaces older equip- CNS are involved. References 12 (Russian).
ment that was not engineered with current safety stan-
dards in mind. Additional calculations are presented for UDC 613.647-07:612.112.94.015.1
the case of two channel meteorological radars, demon-
strating that the net biological effect may be additive, Effect of Industrial Frequency Electromagnetic
synergistic, or antagonistic. Figures 2; references 5 (Rus- Fields on Lymphocyte Enzymology in Animals
sian). Following Assessment of Adaptational Reactions
UDC 613.647:621.37 907C051IOM Moscow GIGIYENA I SANITARIYA
in Russian No 10, Oct 89 (manuscript received
Calculation of Health Risk Probability of 4Ot8)p 08
Electromagnetic Fields [Article by V.D. Dyshlovoy, A.S. Yanovskaya and T.S.
907C0510K Moscow GIGIYENA I SANITARIYA Chaplinskaya, Kiev Medical Institute]
in Russian No 10, Oct 89 (manuscript received
4 Oct 88) pp 73-75 [Abstract] Male and female BALB and C57BL/6y mice
were exposed to industrial frequency 750 kV/m electro-
[Article by D. S. Ivanov, Kiev Scientific Research Insti- magnetic fields in order to determine whether lympho-
tute of General and Communal Hygiene imeni A.N. cyte enzymology may be used as an indicator of suscep-
Marzeyev] tibility. The animals were subjected to l to 30 exposures,
each lasting 5 h, followed by determination of several
[Abstract] Presentation is made of the mathematical dehydrogenases, acid phosphatase, and RNA concentra-
treatment of statistical data for the calculation of health tion. Cytochemical data revealed species differences as
risk probabilities of electromagnetic fields. The well as the fact that the C57BL/6y mice were more
approach taken involves determination of the maximum susceptible to the effects of irradiation than the BALB
innocuous level of the electromagnetic field based on mice, indicating that lymphocyte enzymology may be
animal studies, with extrapolation to humans based on used as a susceptibility indicator. In addition, the data
correlation of animal exposure times to equivalent time also revealed a dose-related lymphopenia, although some
values for humans. The innocuous animal threshold is reversal was noted toward the end of the experiment. In
then converted to human threshold limit values. This addition, lymphohistiocytic infiltration was noted in
approach does not replace assessment of threshold limit perivascular spaces, myocardium, liver, kidneys, and
values based on morbidity patterns, but rather consti- other organs. The thymus had a large number of dam-
tutes a complementary technique. Tables I; references 5 aged lymphocytes. References 6: 5 Russian, 1 Western.
(Russian). UDC 612.821+612.76].014.426
UDC 613.647-07:612.82
Functional Asymmetry as Indicator of Biological
Central Nervous System Function in Health Risk Activity of Super High Frequency Electromagnetic
Assessment of Industrial Frequency Electric Field Fields
907C051IOL Moscow GIGIYENA I SANITARIYA 907C05 JON Moscow GIGIYENA I SANITARIYA
in Russian No 10, Oct 89 (manuscript received in Russian No 10, Oct 89 (manuscript received
4 Oct 88) pp 78-79 4 Oct 88) pp 81-82
[Article by I. S. Bezdolnaya, Kiev Scientific Resarch [Article by Ye. F. Stoyan, Kiev Scientific Research
Institute of General and Communal Hygiene imeni A.N. Institute of General and Communal Hygiene imeni A.N.
Marzeyev] Marzeyev]
[Abstract] Thirty male students 20-25 years of age were [Abstract] An analysis was conducted on functional
employed in a study designed to test the central nervous asymmetry in children undergoing therapy for non-
system (CNS) health risks involved in exposure to a 50 specific respiratory diseases with super high frequency
Hz (industrial frequency) 15 kV/m electric field. The (SHF) fields directed at the thorax (Luch-2 apparatus,
results demonstrated that exposure for 60 or 90 min per 12.6 cm wavelength, 2375 MHz, 5 W output, 10 mmn/day
day for 20 days led to predominance of excitatory over for 10 days). Examination of the children demonstrated
JPRS-ULS-90-016
2 October 1990 Nonionizing Radiation Effects 33
that the therapeutic modality in question resulted in a microwave mechanisms of action evidently involve a
significantly greater increase in skin temperature on the direct effect on the erythrocyte membrane as well as
right side of the chest in comparison with untreated indirect mechanisms via the neuroendocrine axis. Fig-
children, while the temperature on the other side was ures 1; references 20: 10 Russian, 10 Western.
unaffected. The latter phenomenon was interpreted to UDC 613.647:621.319]:[612.26+612.015.1].014.424
reflect activity of cardiovascular reflex mechanisms
intended to prevent overheating of the cardiac area. The Effects of Long-Term 120 kY/m Electrostatic
tactile sensitivity of the right hand was also shown to be Fields on Monoaminergic Systems and Energy
more susceptible to the SHF field than the left hand, and Metabolism Enzymes in Rats
the diastolic blood pressure in the left hand was signifi-
cantly lower than in the right. In addition, right handed- 907C0510Q Moscow GIGIYENA I SANITARIYA
ness was replaced by ambidexterity during irradiation, in Russian No 10, Oct 89 (manuscript received
These observations indicate that changes in functional 12 Oct 88) pp 89-90
asymmetry under the influence of low level SHF fields [Article by F.G. Portnov, A.P. Iyerusalimskiy, L.F.
may be a useful parameter in health risk assessment of Vorobyeva, B.L. Dundure and Yu.M. Porozov, Depart-
such physical factors. References 10 (Russian). ment of Biomedical Problems of Electrical Engineering,
UDC 613.647+614.875]-07:612.76 All-Union Scientific Research Engineering and Techno-
logical Institute of the Cable Industry, Yurmala]
Locomotion Parameters of Animals in Health [Abstract] Male Wistar rats (180-200 g) were selected to
Risk Assessment of Microwave Radiation assess the effects of long-term exposure to 120 kV/m (1.7
907C05100 Moscow GIGIYENA I SANITARIYA gA/m2) electrostatic fields on the monoaminergic system
in RussianOct
No 810, Oct 89 (manuscript received and ATPase activity of erythrocyte membranes. The
in4Ru, 9( p r d study revealed certain time-dependent changes, con-
4 Oct 88) pp 82-85 sisting of, for example, a 47 percent reduction in the
dopamine/norepinephrine ratio in the diencephalon
[Article by M.A. Navakatikyan and S.I. Nogachevskaya, brain after 3 months. One month after 4 months of
Kiev Scientific Research Institute of General and Coin- exposure most of the changes in the dopaminergic and
munal Hygiene imeni A.N. Marzeyev] noradrenergic neurons approached baseline values. A
[Abstract] Female Fisher rats (150-250 g) were used in transient elevation of
stem, diencephalon andserotonin
the basal was noted
ganglia in 3the
after brain
months,
open-field and maze tests to assess the effects of micro- 2
while erythrocyte membrane Mg -ATPase activity was
wave irradiation (2450 MHz, 1 mW/cm 2 , 7 h/day for significantly depressed after 2 and 3 months. These
10-45 days) on locomotor activity. The data showed that, findings provide additional proof that health safety
in general, motor activity was depressed in a dose- standards need to be established for common electro-
dependent manner in both tests. However, animals irra- static fields. Tables 1; references 9: 6 Russian, 3 Western.
diated for 30 days in the open-field or free-running trials
reflected some degree of activation of locomotor UDC 613.647+613.168]:621.396
activity, a trend reflected to a lesser extent in the maze
studies. The factors responsible for the apparent activa- Analysis of Current Production of Soviet
tion remain enigmatic and point to the need for further Publications on Biological Effects of
research along these lines. Tables 3; references 22: 11 Radiofrequency Electromagnetic Fields
Russian, I1 Western. 907C0510R Moscow GIGIYENA I SANITARIYA
in Russian No 10, Oct 89 (manuscript received
UDC 613.647-07:[612.235+612.261].014.49 12 Oct 88) pp 90-92
Effect of Microwave Irradiation on Adaptive [Article by G.I. Leonskaya, M.Yu. Antomonov, V.I. Bezzub
Reactions of Blood Oxygen Transport System and L.P. Munina, Kiev Scientific Research Institute of
907C55l0P Moscow GIGIYENA I SANITARIYA General and Communal Hygiene imeni A.N. Marzeyev]
in Russian No 10, Oct 89 (manuscript received [Abstract] An analysis was conducted on the rate of
4 Oct 88) pp 85-87 appearance of Soviet publications dealing with the bio-
logical and health aspects of radiofrequency electromag-
[Article by V.P. Artyukh, Kiev Scientific Research Insti- netic fields. The data, covering the 1975-1985 time-
tute of General and Communal Hygiene imeni A.N. frame, encompassed monographs, collected works,
Marzeyev] journal articles, conference proceedings, patent litera-
ture, discoveries, and so forth. The analysis demon-
[Abstract] Outbred male rats, 200-250 g in weight, were strated that research papers are being published in 59
subjected to microwave irradiation (2450 MHz, 10 mW/ journals, with the most productive journals identified as
cm , 7 h exposure) in order to assess the effects on VOPROSY KURORTOLOGII, FIZIOTERAPII I
oxygen transport. Acid hemolysis studies showed that LECHEBNOY FIZICHESKOY KULTURY,
irradiation led to a 50 percent reduction in hemolysis GIGIYENA I SANITARIYA, and VRACHEBNOYE
time, and that older cells were more sensitive. The DELO. Although access to information contained in
JPRS-ULS-90-016
34 Nonionizing Radiation Effects 2 October 1990
these three journals presents no problem for the spe- patients in the early stages of cerebrovascular insuffi-
cialist, reliance on these journals alone deprives a scien- ciency. The magnet was positioned in a manner designed
tists of 50 percent of the available information. In to impart an intravascular induction of 20-30 T in the
general, the flow of publications has remained more or internal carotid artery, with the south pole applied to
less steady during the timeframe in question, with a precerebral segment of the artery perpendicular to the
moderate increase largely limited to works dealing with
discoveries. The data indicate that in the foreseeable longitudinal axis of the artery. The clinical and labora-
future the rate of production of publications dealing withtory evaluations demonstrated that 76-93 percent of the
radiofrequency fields will remain at the present level, patients responded favorably for a month when treated
Figures 1; tables 1; references 7 (Russian). unilaterally for 24 h per day for 7 days. The improve-
ments in regional hemodynamics were attributed to
UDC 616-073.8:[616.13/14+616.8] normalization of hemostatic indicators and rheologic
Novel Applications of Constant Magnetic Fields parameters. An alternative approach consisting of mag-
in Neuroangiology netic therapy for 15-120 min per day for 7 days involved
IZVESTIYA AKADEMII NA UK a greater degree of circadian fluctuations in hemody-
907C0533C
L TVIYVEYS
0
LATVIYSKOY CARiga
SSR Sin
inEI TY No 2,
Russian 2,Feb90namics and was of less clinical benefit. After one month
Feb 90imrvmnswenodinnl83pcntfth
(manuscriptreceived 19 Jul 89) pp 95-104 improvements were noted in only 83 percent of the
patients in the latter group. Figures 3; tables 1; references
[Article by G. I. Eninya, I. P. Logina, V. A. Chernyakov 25: 23 Russian, 2 Western.
and I. Kh. Mayore, Riga Medical Institute]
[Abstract] Therapeutic trials were undertaken with a
cylindrical samarium-cobalt magnet for managing 180
JPRS-ULS-90-016
2 October 1990 Pharmacology, Toxicology 35
after exposure seven of the patients exhibited elevated glycosides (corglykon or strophanthin) and analeptics
arterial pressure up to 150/100 - 160/100 mm Hg which (Cordiamin and Corazol) were prescribed to improve
was apparently due not only to the stress situation but to cardiovascular function.
bronchospastic syndrome and reflex constriction of the Acidosis was arrested by the use of sodium bicarbonate.
pulmonary vessels. Injury to the heart was evaluated as
toxic myocarditis. Broad
Bodsetu spectrum polysynthetic
oyytei antibiotics
niitc were
eepe pre-
scribed to prevent bacterial pneumonias.
Various symp-
Eleven patients exhibited external respiration distur- tomatic agents were used as required, including isopren-
bance (lowered VC and FVC, expiratory pressure, ratio aline spray, corticosteroids, and antibiotics to eliminate
of maximal pulmonary ventilation to required maximal bronchial spasms, local inflammatory phenomena, and
pulmonary ventilation, and other indices). Restoration to prevent infection complications.
began after 18 to 20 days. Toxic hepatic injury (toxic The principal task during the reflex period was to elim-
hepatitis) was indicated by elevated blood levels of total inate the irritation of mucous respiratory pathways.
bilirubin (to 24 - 26 ntmoles/1), especially conjugated Prescribed for this purpose were sodium bicarbonate
bilirubin (up to 6.7 gt moles/l, elevated aminotransferase gargles for the mouth and nasopharynx, inhalation of
- ALT - activity up to 1.28 mmoles/(h/L) and AST - up to ephedrine and Euphylline sprays, etc. Codeine and dio-
0.94 mmoles/(h/L) and lowered glucose-6-phosphatase nine were prescribed to reduce coughing. All of the
levels. Toxic renal injury was indicated by elevated patients exhibited clinical recovery following treatment.
blood urea (up to 9.2 gxmoles/I and creatinine (up to 260 The average hospital stay was 15 days for persons with
gt moles/l as well as by changes in the urine (slight mild cases of poisoning and 27 days for the severe cases.
proteinuria and cylindruria).
Thus, the principal sign in acute trichloronitromethane
On the second and third days following exposure there inhalation poisonings is bronchospastic syndrome. In
was an increase in the prothrombin index of up to 110 - severe poisoning, the principal sign is toxic pulmonary
140 percent and fibrinogen content (4.3 g/l and more) edema. In addition, trichloronitromethane has a direct
which indicated hypercoagulation resulting from fluid toxic and resorptive effect on the liver, kidneys, and
loss and pachyemia. During the first three days the cardiovascular system. Clinical recovery was observed in
elevated red blood cell count was more than 5 101/1 and all the victims upon the application of the indicated
the hemoglobin count was up to 163 g/l in eight persons. complex of therapeutic measures.
Moderate leukocytosis (10 109/1 to 16" 10' was observed Bibliography
in 11 persons and an elevated erythrocyte sedimentation
rate was observed in six persons. 1. Karakchiyev, N. I., "Toksikologiya OV i zashchita ot
oruzhiya massogo porazheniya" [Toxicology of Inflam-
The dynamics of certain acid-base indices for the blood mable Substances and Protection Against Mass-
were examined in severely poisoned persons during the Destructive Weapons], Meditsina, Tashkent, 1973.
first days of their exposure and were evaluated as a
manifestation of moderately pronounced respiratory aci- 2. Ludwig, R. and Los, K., "Ostryye otravleniya" [Acute
dosis (pH - 7.34 - 7.35; pCO 2 - 41.3 - 45.0). Strict bed rest Poisonings] Trans. from German), Meditsina, Moscow,
was prescribed for all of the patients along with the 1983.
extensive use of oxygen in order to eliminate oxygen 3. "Neotlozhnaya pomoshch pri ostrykh otravleniyakh:
starvation, acidosis, pulmonary edema, and circulatory Spravochnik po toksikologii" [First Aid in Acute Poison-
disturbances. ings: Toxicology reference manual], Ed. Academician of
the USSR Academy of Medical Sciences S. N. Golikov,
Euphylline, furosemide or lasix, and glucose were Meditsina, Moscow, 1978.
employed in the case of pulmonary edema. Agents used
to decrease vascular permeability included calcium chlo- COPYRIGHT: Izdatelstvo "Zdorovya", "Vrachebnoye
ride or gluconate, ascorbic acid, and vitamin P. Cardiac delo", 1990.
JPRS-ULS-90-016
2 October 1990 Physiology 37
tissue, though there were areas of direct fusion of the ("informational pair") and the tonsils and hypothalamus
transplant and recipient tissues. A slight increase in the ("motivational pair") were studied on 50 two-month-old
serotonin content of the brain and neocortex is probably male rats weighing 200-250 g to determine whether there
due to the growth of serotonin fibers from the transplant. were any effects on the individual behavior of the rats
The transplanted neurones of the raphe nuclei compen- after the transplant, and whether the effects differed for
sated for the instinctive behavior disturbed by the sero- the two sets of structures used. The rats were tested for
tonin deficit as well as complex forms of exploratory and their "emotional resonance" - whether they would
emotional behavior. Transplantation of the embryonal choose between 1) a spacious, well-lighted chamber, or a
raphe nucleus tissue into the neocortex of rats that were "house", 2) the chamber or a "house" whose floor was a
neonatally administered 5,7-DHT almost completely
restores the orientation reaction of the animals to soma- pedal that automatically irritated a partner rat within
tosensory and visual stimuli, exploratory activity, and hearing distance, and 3) the chamber or a "house" whose
emotional activity to their original levels. These findings floor switched on a tone and additional light. The rats
confirm the concept of the role that serotoninergic were assessed for the average amount of time they spent
innervation of the neocortex plays in the regulation of avoiding the house as well as the average number of
sensory attention and reactivity. Figures 4; tables 1; entrances into the house. The sounds made by the
references 22: 10 Russian, 12 Western. partner rat when the rat entered the second house had a
UDC 612.821.6+612.822.3 much more pronounced effect on the latter in the moti-
vational group, while the tone in third house affected the
Effect of Transplantation of Embryonal Brain informational group much more strongly, indicating that
Tissue (Early Periods) on Avoidance of Artificial transplanting the tonsils and hypothalamus had a much
and Zoosocial Stimuli in Rats more marked effect than that of the frontal cortex and
907C0624CMoscow ZHURNAL VYSSHEY hippocampus. Transplantation of embryonal nerve
NER VNOY DEYATELNOSTI IMENI I. P. PA VLOVVA tissue caused alterations in the individual behavior of
in Russian Vol 40 No 1, Jan-Feb 90 (manuscript the animals, depending on the brain structures involved.
received 12 Jan 89; after revision 21 Apr 89) pp 179-182 The neurochemical factors secreted by the transplant
disturb the activity of the structures of the same name in
[Article by N. G. Mikhaylova, A. V. Zukhar, Ye. V. the rat brain. Figures 2; tables 2; references 4: 2 Russian,
Loseva, and I. V. Yermakova, Institute of Higher Ner- 2 Western.
vous Activity and Neurophysiology, USSR Academy of
Sciences, Moscow]
[Abstract] The effects of nerve transplantation of embry-
onal tissue of the frontal cortex and hippocampus
JPRS-ULS-90-016
2 October 1990 Public Health 39
New, Portable Dosimeter Developed The price of the instrument will not exceed the cost of a
907C0044B Moscow IZVESTIYA in Russian 25 Aug 89 transistor radio.
Morning Ed p 1 UDC 616-001.28-02:613.648]-07:613.731]-037
Observation 1. The patient is a 44-year-old reactor room Signs of quick exhaustion at work, emotional instability,
chief. From the beginning of the accident, he took part in a tendency to fixate on failure and to painstakingly check
analyzing the situation, controlling the systems and what he has done (out of fear of missing a mistake), and
equipment, and supervising personnel. He has no com- attitudes of conformity and dependency as a reaction to
plaints at the present time. His behavior while doing his the situation he has lived through are objectively evi-
job is calm and steady. The calculated time indicators dent. A somewhat lowered level of his functional mental
from the analysis of his simple sensorimotor responses state that is caused by high anxiety and excessive stress
are as follows: functional system level, 4.61; response have been established.
stability, 1.56; level of functional capabilities, 3.27.
These levels correspond to the average level of the norm Above all, this case demonstrates the disruption of an
for the functional status of the CNS. operator's fitness for work as a result of a sustained
pronounced state of psychoemotional stress.
The indicators of the productivity and reliability of his Observation 3. The patient is a 27-year-old military man
activity and the principle properties of his attention and who is an inspector at a checkpoint. He complains of
short-term memory are within the range of the norm. His weakness, headaches, and increased fatigue. His calcu-
average productivity on the analysis of complex sensori- lated time indicators for the analysis of simple sensori-
motor activity amounted to 53.5 operations per minute, motor reactions are as follows: functional system level,
with an average time of t = 1.96 seconds spent per 4.6; response stability, 1.96; level of functional capabil-
operation at a = 0.358 seconds. The dynamics of the ities, 3.56. This corresponds to the mean level of the
analysis of his complex sensorimotor activities did not norm for the functional status of the CNS. His produc-
change, and he acquires skills successfully. His self- tivity and reliability as measured on the analysis of
assessment of condition is adequate and corresponds to complex sensorimotor activity are adequate (productiv-
the norm (state of health, 5.4; activity, 5.3; disposition, ity, 37 operations per minute; t = 1.849 seconds with T=
5.8). An isolated increase in his reactive anxiety is noted 0.685 seconds), and he acquires skills successfully. The
with moderate personality anxiety (reactive, 47; person- indicators of the principal features of his attention and
ality, 36); some signs of internal stress and intensifica- short-term memory are within the range of the norm.
tion of volitional control of activity are socially caused
and are adequate for his life situation. A rather high level His self-assessment of condition is very low, particularly
of functional mental state has been established. This case with regard to disposition (state of health, 3.6; activity,
may serve as an example of a good recovery after 3.2; disposition, 1.6).
minor-degree acute radiation sickness in a patient with
appropriate occupational training and good personality He manifests high degrees of reactive (score, 49) and
traits, personality (score, 58) anxiety. He is experiencing
acutely painful difficulties in making decisions regarding
his future. Some toughness in his thinking and thorough-
Observation 2. The patient is a 33-year-old senior unit ness are evident. He manifests a pronounced state of
control engineer. During the first hours following the emotional discomfort, instability, and uncertainty in
accident, he was at the unit switchboard and performed himself with a high motivation to reach his goals, a
the duties of the senior turbine control engineer. He tendency toward reactions of rejection, and difficulties
complains of pronounced weakness, distraction, forget- in social adaptation.
fulness, and irritability. His calculated time indicators
for the analysis of his simple sensorimotor responses are His excessive self-criticism and the large rift between his
as follows: functional system level, 4.97; response sta- actual and ideal "I" have led to a marked state of
bility, 2.4; level of functional capabilities, 4.02-which internal stress and low mood background. This neurotic
corresponds to a high level of the norm for the functional conflict, which is inherent to his personality, has been
status of the CNS. The indicators for the principal intensified and reinforced by his poor grasp of his illness
features of his attention and short-term memory when and the prognosis regarding the state of his health, the
performing small tasks are high. As he performed the test circumstances of his irradiation (he stood guard to no
of complex sensorimotor activities at a rapid pace, he apparent benefit), and his protracted inability to help his
demonstrated a pronounced unevenness in productivity own actual self-assessment or to test his strengths (for the
(productivity, 41 operations per minute; t = 1.623 sec- past 9 months he has spent most of his time in the
onds with a = 0.483 seconds) and reliability of activity hospital and has not worked). This case thus demon-
(10 percent erroneous operations). By the seventh strates a pronounced neurotic conflict and a steadfast
minute, monotony develops, as does a reduction in work state of frustration in an emotionally labile personality
efficiency that is accompanied by autonomic manifesta- (psychoasthenic traits) in the presence of a rather high
tions. His self-assessment of. condition is low (state of level of basic mental functions.
health, 3.8; activity, 3.6; disposition, 3.1). He manifests
a high reactive and personality anxiety (personality, 60; Observation 4. The patient is a 30-year-old operator of a
reactive, 54). After the accident, he developed a fear of nitrogen-oxygen station. During the accident, he was at
online work. He feels that he has become overly cautious his workstation close to the accident site. He heard the
at work and does not take risks as before, roar and saw the flash. He completed his shift. He
JPRS-ULS-90-016
42 Radiation Biology 2 October 1990
presents a wealth of complaints regarding constant head- 2. Identifying the feature of patients' psychological state
aches, depressed mood, nightmares, poor noise endur- and objectivizing possible deadaptation disorders may
ance, irritability, fatigue, and a reduction in memory and provide needed material for expert assessment and prog-
attention span, as a result of which he cannot watch nosis of their health status and fitness for work, their
television or concentrate on reading. He is listless, for- occupational suitability, and the implementation of cor-
getful, and fixated on the details of the history of his rective and rehabilitative measures.
illness. He has difficulty recalling the sequence of events
during the accident and begins stuttering. He notes that Bibliography
in the sanatorium the roar of aircraft remind him of the 1. Blagoveshchenskaya, V. V., Malakhova, V. V.,
accident and then he "becomes afraid." He feels that Torubarov, F. S., et al., "Aktualnyye voprosy klin-
nobody needs him. He has no plans for his future way of icheskoy meditsiny" [Urgent Matters in Clinical Medi-
life or activities, saying "I have thought about it in cine], Moscow, 1979, pp 8-15.
general but quickly forget about it." His calculated time
indicators for his simple sensorimotor reaction analysis 2. Guskova, A. K., and Baysogolov, G. D., "Luchevaya
are as follows: functional system level, 2.43; response bolezn cheloveka" [Radiation Sickness in Humans),
stability, 0.92; level of functional capabilities, 0.11. This Moscow, 1971.
corresponds to a third-degree shift in functional status.
His productivity on the analysis of complex sensorim- 3. Denisova, A. Ye., and Soldatova, V. V., "Ekspertiza
otor activity is reduced (productivity, 26 operations per trudosposobnosti, meditsinskaya i trudovaya reabili-
minute; t = 2.556 seconds with a = 0.944 seconds), and tatsiya pri professionalnykh zabolevaniyakh" [Expert
his activation period has not been determined. The main Evaluation of Fitness for Work and Medical and Occu-
features characterizing his attention and his self- pational Rehabilitation During Occupational Illnesses],
assessment of condition are also reduced (state of health, Moscow, 1977, p 132.
2.9; activity, 3.5; disposition, 4.5). He is experiencing COPYRIGHT: "Gigiyena truda i professionalnyye
anxiety (reactive, 43; personality, 46). He manifests signs zabolevaniya", 1989
of disintegration of his emotional and intellectual
spheres and a marked fixation on the state of his health, UDC 616-001.28-036.11-07+616-001.28-036.11-08
as well as chaos and the absence of a proper system for
analyzing phenomena. His functional mental state has
been diagnosed as low, and asthenoneurotic syndrome Diagnosis, Clinical Picture and Treatment of
has been established. Acute Radiation Sickness in Victims at the
Chernobyl Nuclear Power Plant. Report II.
Nonmedullary Syndromes of Radiation Injury and
Thus, in the first case, proceeding from the results of the Their Treatment
clinical psychological examination, the patient may be
deemed fit for work without any restrictions. As for the 907C0226 Moscow TERAPEVTICHESKIYARKHIV
second case of the ill, but fit-for-duty engineer who had in Russian Vol 61 No 8, Aug 89 (manuscriptreceived 3
been working in his specialty, it is not recommended that Jul 88) pp 99-103
he be used for operator duties, including those without
any contact with ionizing radiation. This could lead to a [Article by A. K. Guskova, A. Ye. Baranov, A. V.
disruption of work and to a reduction in the operating Barabanova, A. A. Moiseyev, Ye. K. Pyatkin, G. D.
safety of equipment, on the one hand, and an increase in Selidovkin, and N. A. Metlyayeva (Moscow)]
the risk of the occurrence of psychosomatic pathology in
the patient, on the other hand. The third patient needs [Text] By virtue of the unique conditions of exposure to
psychological correction of the neurotic conflict under- ionizing radiation in the Chernobyl AES [nuclear power
lying his psychoasthenic state (by giving him additional plant] accident, there was significant external exposure
information about his state of health and a prognosis, of the skin to beta and gamma radiation from a distance,
helping him plot a life's program for the near future, and as well as contact irradiation from particles of radioac-
including him in work-related activity as quickly as tive dust that settled on the skin and from wet clothing
possible). Treatment and psychotherapeutic assistance saturated with contaminated water and steam. For this
are needed in the fourth case. Only then can the question reason, extensive radiation injuries to the skin caused by
of his fitness for work and efficient job placement be beta rays were a distinctive feature in victims of this
answered. accident.
Radiation burns in firefighters and casualties among the
Conclusions. 1. The different mental states and levels of plant's personnel were observed only in combination
fitness for work in patients suffering from minor-degree with radiation injury to hemopoiesis; thus, they were a
acute radiation sickness during the recovery period are a component part of the clinical syndrome of acute radia-
result not only of the features of the illness they have tion sickness (ARS). This situation can be viewed as a
had, but also of a set of psychological factors specific to variant of extremely uneven body-depth distribution of
the accident and of the patient's personality traits and absorbed energy, when the dose to the skin was 10-20
level of general and occupational knowledge. times greater than the radiation dose to bone marrow.
JPRS-ULS-90-016
2 October 1990 Radiation Biology 43
This was confirmed by the existence of a certain paral- of victims. These changes were characterized by hyper-
lelism in severity of injury in these two critical systems. emia on previously unchanged parts of the skin or
intensification of clinical manifestations at the sites of
The table presents the distribution of cases of radiation "old," healing burns. For example, late secondary
bums to the skin in groups presenting with varying erythema appeared over the malleoli and feet or on the
degrees of severity of the medullary syndrome (MS) of thighs and buttocks of patients who had "blooming"
ARS. burns on the lower legs in the first three weeks. By the
time this late erythema appeared, earlier erosions often
Distribution of cases of radiation burns to the skin in the were epithelized. Late erythema was usually accompa-
presence of varying degrees of severity of ARS medullary nied by edema of subcutaneous fatty tissue, which was
Ssyndrome particularly noticeable when localized on the lower leg; it
was painful to walk. Palpation of the skin and underlying
Extent of body surface involved tissues (muscles, tendons) was painful. In the most
Severity Number 50% 11-50% 1-10% Total serious cases, fever and worsening of general condition
of were observed. Late secondary erythema was resolved
patients within two weeks with topical therapy only. But in the
IV 20 9 10 1 20 most severe cases, one had to resort to additional thera-
III 21 3 15 3 21 peutic measures-for example, prescribing glucocorti-
II 43 1 9 2 12
coids, which eliminated rather rapidly both systemic and
local manifestations of dermatitis.
I 31 0 1 2 3
Totals 115 13 35 8 56 As can be seen in the table, the extensiveness of burns in
the ARS patients ranged from 1 to 100 percent of the
As can be seen in the table, more than half of all ARS body surface. It should be noted that when there were
cases had radiation injury to the skin, whereas every relatively early (on the fifth or sixth day) second- to
patient with the MS of grades III and IV severity has third-degree burns over at least 30-40 percent of the
such injury to the skin. body, with subsequent spread of hyperemia, they
resulted in death. In 19 out of 56 patients with burns, the
The contribution that radiation skin injuries made to the latter were, without question, fatal. With the appearance
severity of the overall clinical ARS syndrome was due of early secondary erythema over more than 40 percent
not only to the extensiveness of the process, but also to of the body, there was consistent development of, first,
the markedness of pathological changes, as well as to the febrile-toxemic syndrome and then renal-hepatic insuf-
duration of the course, with unique recurrences of the ficiency and encephalopathic coma with cerebral edema,
pathological process. which led to death 14-48 days after exposure to radia-
tion. The pathogenetic link between fatal renal-hepatic
As a rule, each patient had burns over different parts of insufficiency and cerebral coma, on the one hand, and
the body. The most frequent locations in the early period skin burns, on the other, is confirmed by the fact that a
were the hands, face, neck and feet; later, there were similar evolution of these syndromes was also observed
burns on the chest, back, followed by injuries on the in several patients who had neither a serious MS nor the
lower and upper legs and the buttocks. In some cases, the intestinal syndrome (IS). In most cases, however, fatal
sequence was different. burns were combined with both extremely severe MS
Evolution of visible injuries was similar to that described and severe acute radiation enteritis (IS).
previously by other authors,2 but was more severe. The IS was one of the most terrible manifestations of ARS.
extensive hyperemia that occurred at first (primary This syndrome began to develop between the fourth and
erythema) was followed by a latent period by the third or eighth days in 10 patients. This was indicative of brief
fourth day. Secondary erythema developed on the fifth exposure to whole-body gamma radiation on the order of
or sixth day in the most serious cases and between the 10 Gy or more; all 10 patients died within the first three
eighth and 21st days in the majority of patients. weeks after irradiation. Appearance of diarrhea after
Depending on the degree of injury, it ended with either eight days (in seven individuals) was indicative of less
dry (first-degree radiation burn) or moist (second-degree, severe injury. With intensive fluid-electrolyte-protein
with formation of blisters) epidermitis, or there was maintenance therapy, the manifestations of radiation
development of ulcerative-bullous and ulcerative- enteritis that were present from the 10th to 25th days
necrotic dermatitis (third- and fourth-degree burns). could not have been the sole or chief cause of death.
Epithelization of desquamative-erosive surfaces con-
tinued for 2-3 weeks after the appearance of visible skin The buccopharyngeal syndrome (BPS)-acute radiation
changes. In six patients, healing of burns on areas of deep mucositis of the mouth and pharynx-was found in 80
necrosis of the skin did not begin until the end of the patients. Its mildest manifestations (grades I and II
second month. Appearance of secondary waves of severity) were characterized by desquamation and
erythema starting at the end of the fourth week of ARS edema of the mucosa in the buccal and tongue region
(after the 21st day) to the 45th-60th days was a typical and by separation of the gums from the teeth. These
burn feature we were able to fully monitor in this group symptoms were observed between the eighth and 25th
JPRS-ULS-90-016
44 Radiation Biology 2 October 1990
days. Erosions and ulcers of the oral mucosa, severe Interstitial radiation pneumonia (in 7 patients) compli-
pain, and profuse gummy mucus that sometimes blocked cated by, apparently, secondary viral infection that was
the laryngeal vestibule and hindered breathing were the difficult to identify before death was of sole or leading
chief manifestations of more severe BPS (grades III and significance.
IV). The first symptoms appeared earlier, on the third or
fourth day, and reached a peak on the 10th day, IS and BPS were combined with other severe injuries in
regressing after the l8th-20th day, with agranulocytosis all patients of this group and had no independent signif-
still present. The process did not have selective localiza- icance in terms of the fatal outcome.
tion, as is inherent in erosive-ulcerative injuries in the
region of the palatine tonsils and gums in the presence of In six cases, death was due to irreversible radiation
agranulocytosis. However, in a considerable number of aplasia of hemopoiesis (cytopenia and its inherent infec-
cases, radiation cass,
mucositis
aditiowas
muosiis as complicated
ompicaed byy secondary
sconary tious
marrowcomplications)
transplantationor (BMT).
to complications after bone
We are referring to a
bacterial and viral infection, which prolonged its course. m aro transpantation (mT).oWe r
iar ingrtora
The primary, early appearance (on the third or fourth secondary illness-paa set of immunological disorders
day) of eruptions similar to herpes, which formed mas- related to acceptance of the transplant with retention of
sive scabs on the lips
80 and
th prcet
caesface, was evee
o ith typicalad
in etreely
almost 30 the patient's
sion own myelopoiesis----or
of myelopoiesis and immunity byto additional depres-
toxic components
re and percent of the transplantation program.
severe MS, respectively. In this group of patients, mainly
with grade IV ARS, we also observed marked radiation Bleeding was the cause of death in only one case
parotitis with impaired salivation and high blood amy- (hemothorax and hemoperitoneum triggered by mechan-
lase levels between the first and fourth days. The ical trauma when catheterizing the subclavian vein).
enlarged parotid salivary glands reverted to normal size
without special therapy, but restoration of secretion took In virtually all cases, shortly before death there were
more time. marked manifestations of severe endogenous intoxica-
tion as a result of extensive radiation destruction of
Acute radiation pneumonia, which has been described in tissues, aggravated by infectious and septic complica-
connection with whole-body therapeutic gamma irradi- tions. This was manifested by functional insufficiency of
ation of leukemia patients,4 was observed in our situa- the liver and kidneys, signs of dyscirculatory and toxic
tion in seven patients with grade Ill-IV ARS. Rapidly encephalopathy combined with respiratory and vascular
increasing dyspnea was a typical sign of this condition; insufficiency.
with auscultation, pulmonary rales "rattled" like "a tin Treatment of radiation bums and other nonmedullary
roof in the wind"; respiratory insufficiency progressed syndromes and their complications was a difficult and
for two or three days; and there were lethal outcomes due multifaceted problem.
to hypoxemic coma. Autopsy revealed large cyanotic
lungs with marked interstitial edema, but without signs A total of 15 hemoperfusion procedures were adminis-
of destruction of the mucosa of the trachea or bronchi. tered between the second and eighth days of illness to 13
Interstitial pneumonia usually developed a few days patients with the most severe skin injuries. Three
before death; it was combined with extremely severe patients exposed to whole-body radiation of 2-4.6 Gy
injuries to the skin and intestine. Death occurred 14-30 survived; they were treated by hemoperfusion once
days after irradiation. between the fifth and eighth days, i.e., considerably later
than is recommended for treatment of the MS. This
All patients with grade III-IV MS had severe radiation method of therapy did not affect duration or severity of
burns. The incidence of other nonmedullary syndromes pancytopenia.
increased as the dose of whole-body radiation increased. During hemoperfusion-particularly by the end of the
Among patients whose illness led to death, the outcome procedure-many patients reported brief (for several
could have been due to skin injuries in two-thirds of hours or a day) improvement of well-being, attenuation
them (19 patients). However, in 14 patients, there was a or disappearance of pain in involved limbs, as well as
combination of several serious syndromes, each of which decrease in tissue edema. It is impossible to rule out the
could have been the cause of death. Five patients had effect of the medication that accompanied the proce-
neither radiation enteritis nor irreversible myelodepres- dure.
sion, and the dose of whole-body exposure did not
exceed 6 Gy. Thus, their death should be interpreted as Wider use was made of plasmapheresis in order to
being the result, exclusively, of radiation injuries to counteract the consistent development of renal and
extensive parts of the skin. Radiation skin injuries are a hepatic insufficiency and fatal encephalopathic coma.
typical manifestation of ARS as a result of severe expo- Severe beta-radiation burns to 30-40 percent of the body
sure to nonuniform gamma and beta radiation. In this or more were an indication for it. Plasmapheresis was
situation, the nonuniformity is due to the high dose performed on 17 patients from the 18th day through the
gradient between the surface of the skin and the entire 37th day. Some were treated daily with this procedure as
body. many times as six times a day.
JPRS-ULS-90-016
2 October 1990 Radiation Biology 45
The beneficial effect of repeated plasmapheresis was MS required longer treatment. By the end of the fourth
manifested by a reduction in bilirubinemia and transam- month following irradiation, a few patients remained in
inasemia and lower levels of nitrous sludge in the blood a specialized hospital with changes in the skin (areas of
in the presence of burn-induced renal-hepatic syndrome. dystrophy and ulcerations with edema of subcellular
Some sessions of plasmapheresis were accompanied by fatty tissue, mainly on the lower legs and feet). They were
mild reactions, in the form of chills and fever; there were treated with disaggregants and agents to improve local
no fatal complications. Infusion of 1000 ml fresh-frozen circulation and tissular trophies. Four patients had deep,
plasma against the backdrop of around-the-clock hep- extensive ulcers on the arms and other parts of the body,
arinization (1000 U/h), with fluid loading (2-6 I/day) and and they required repeated plastic surgery.
forced diuresis matching the administered volume of
fluid, was another procedure used for burn-induced Some surviving patients with severe or extremely severe
toxicosis. This was done on the assumption that subclin- MS continued to show laboratory signs of an immune-
ical or even sublaboratory (no typical coagulation- deficient status, in particular, a low helper/suppressor
related disturbances) disseminated intravascular clotting ratio when subpopulations of T-lymphocytes were
was the chief cause of development of encephalopathy assayed using monoclonal antibodies. During this time,
and the renal-hepatic syndrome. This methods was used they did not develop any serious or life-threatening
in its strictest version on two patients, for 7-15 days. infections. In some cases, immunocorrective therapy
These patients survived somewhat longer than did the with Tactivin and B-activin was tried.
others with burns of similar severity and extensiveness. Treatment of ARS patients required much effort on the
They had less marked renal-hepatic insufficiency; how- part of hospital personnel with experience in managing
ever, death due to encephalopathic coma could not be such patients. Moreover, it became necessary to call
prevented. upon the staff of other medical institutions, particularly
A large team of surgeons and nurses was needed to apply mid-level personnel. There was a dramatic increase in
dressings for topical treatment of burns. Various anti- the need for platelet concentrate and other blood prod-
inflammatory, bacteriostatic agents that stimulated ucts (albumin, plasma). It was necessary to quickly outfit
regeneration were used. Lyoxanol aerosol, a burn oint- some isolation wards with the most elementary devices
ment based on hydrocortisone with topical antibiotics, to assure aseptic patient management.
the Baliz-2 solution, and collagen coverings (combutec, Organization of the receiving room was a seriously
an adhesive-remissive, and others) proved themselves difficult task because so many victims arrived whose
well. In each individual case, medication was changed in clothing and integument were contaminated to varying
accordance with the stage of the pathological process. degrees. It was necessary to set up optimal flows of
Special mention should be made of experience with arriving victims: those requiring decontamination, and
bactericidal fabric used both as dressing material and those to be immediately hospitalized in the wards. It was
additional bed linen for patients with extensive burns, also necessary to replenish supplies of detergents, dispos-
Other authors have also reported the beneficial proper- able bedding and gowns for patients, footwear and
ties of this material.' clothing for personnel. A large amount of polyethylene
Control of the pain syndrome was rather difficult, as it film was needed to cover the floors of the receiving
always is with radiation injuries, and it required much room, departments, wards and offices.
attention on the part of the physicians. It should be Personnel were equipped with thermoluminescent
noted that local anesthetics were often ineffective. dosimeters to measure external radiation doses, and
contamination of clothing, body and instruments was
Total parenteral feeding (based on alvesin hydrolysate or checked regularly. The radiation doses to which per-
an amino acid mixture-aminon and 40 percent glucose sonnel were exposed did not exceed permissible levels.
as energy-supplying material)-had some beneficial Gradually, appropriate behavior of staff and prescribed
effect in cases of serious radiation stomatitis and enteri- work regimen were achieved under conditions of real,
tis. Treatment was administered according to the guide- though insignificant, radiation contamination.
lines and rules described by S. Dudrick and R. Ruberg. 3
We tested and tried the method for several years in the In such a situation, it was very helpful that this medical
clinic, with good results, particularly in the case of institution had experience in managing such patients
whole-body therapeutic irradiation at a dose of 1000 rad and skills in working in sterile wards, and mid-level
for BMT. The main hazard, which was perhaps not fully personnel were trained in carrying out intensive care,
assessed, was the probability of a hyperosmolar status in including programs of BMT with irradiation of patients
some seriously ill patient (in a coma). For this reason, it at doses of up to 10 Gy. Essentially, this clinic's physi-
is absolutely mandatory to monitor osmolarity of plasma cians headed the work dealing with care of victims of the
in the program of total parenteral feeding in the treat- Chernobyl AES accident. In each department formed,
ment of such patients. the staffs of other institutions worked along with its own
clinical personnel.
In most patients with MS grades I-II, the phase of
recovery ended by the third or fourth month. Individuals The on-duty staffs were reinforced so that there would be
with serious radiation burns and sequelae of grade III-IV a separate around-the-clock nurse and physician for
JPRS-ULS-90-016
46 Radiation Biology 2 October 1990
every 3-4 patients with grade III-IV ARS, particularly at UDC 613.648+614.73](048.8)
the height of illness. Medical personnel worked in the
evenings under the supervision of an experienced duty
officer. Twice a day, the clinic chief or his deputy held a Scientific Basis for Health Norms and Risk
briefing for the personnel coming on duty and analyzed Assessment of Combined Radiative and
the most important aspects of the constantly changing Nonradiative Factors
clinical situation. This was also particularly important 907C0510JMoscow GIGIYENA I SANITARIYA
because physicians from various institutions were in Russian No 10, Oct 89 (manuscriptreceived
involved in the treatment process. In addition to the 6 May 88) pp 67-70
need for strict standardization of all procedural
approaches and guidelines for assessing the response to
therapy, the systematic analyses and examination at the [Article by V.Ya. Golikov, Ye.P. Yermolina, and V.I.
end of the visits of physicians in the specialized hospital Usoltsev, Central Order of Lenin Advanced Training of
made it possible to provide the necessary advanced Physicians Institute, Moscow; Leningrad Advanced
professional training to almost 200 physicians in 2-3 Training of Physicians Institute imeni S. M. Kirov]
months.
[Abstract) The Soviet Union has taken the lead in
Bibliography establishing safe exposure standards to various noxious
1. "Effect of Ionizing Radiation on the Human Body: agents, with special attention accorded to ionizing radi-
Report on Injuries to Residents of the Marshall Islands ation. The current standards covered in the NRB-76/87
and to Americans Accidentally Exposed to Radioactive regulations take into consideration simultaneous mul-
Fallout, and Description of Radiation Injury in Man," tiple internal and external exposures, but are limited to
translated from English, Moscow, 1960. radiative factors. Actually, however, workers and others
are generally exposed to various adverse factors encom-
2. Zubarev, R. P., Sergeyuk, Ye. M., Zagvozkin, V. N., passing, in addition, noise, vibration, electromagnetic
and Prokhorenko, A. S., KHIRURGIYA, 1985, No 5, p fields, electrical charges, chemicals, products of radioly-
131. sis, and so forth. Safety standards for nonradiative
factors are based on the threshold concept, which in the
3. Dudrick, S. J., and Ruberg, R. L., GASTROENTER- case of radiative factors is applicable only to nonsto-
OLOGY, 1971, Vol 61, pp 906-910. chastic effects. However, with stochastic effects dose-
4. Keane, T. I., Van Dyke, I., and Rider, W. D., INT. J. effect relationships are employed. Consequently, it may
RADIAT. ONCOL., 1981, Vol 7, pp 1365-1370. well be that overall morbidity may constitute the best
indicator of the combined action of ionizing radiation
COPYRIGHT: "Terapevticheskiy arkhiv", 1989 and other factors. References 30: 27 Russian, 3 Western.
JPRS-ULS-90-016
2 October 1990 Virology 47
AIDS-Acquired Immune Deficiency Syndrome that differed in their antigenic, biological, and physico-
907C0385EKiev MIKROBIOLOGICHESKIYE chemical properties. Extensive serologic analyses
ZHURNAL in Russian Vol 51 No 5, Sep-Oct 89 revealed that the hemagglutinin in the case of one clone
pp 97-98 was antigenically similar to that of virus A/PR8/34 while
neuraminidase was analogous to the N3 subtype. A
[Article by V. P.
. Shirobokov, A. Yevtushenko, N. M. second clone shared hemagglutinin with A/WS/33 and
Kovaleva et a!.] neuraminidase was of the N1 subtype, and the third
[Abstract] This book, reviewed by G. K. Paliy and A. A. expressed the hemagglutinin of the isolate and
Chesnokova, is the first monograph on AIDS published neuraminidase subtypes of the other two clones. The
in the USSR. The book consists of an introduction, 6 isolate A/USSR/13/81 was thus shown to consist of a
sections, a conclusion and a list of 704 references. The heterogenous population of viruses. Figures 3; tables 2;
introduction presents a detailed description of the global references 18: 13 Russian, 5 Western.
nature and complexity of AIDS and the universal ten- UDC 616.98:[578.828.6:578.74]-092.9-078.73
dency of the spread of the disease. Section 1 describes
basic stages of the history of the discovery of the AIDS
virus, the origin and evolution of the pathogen and a Experimental Masking of Human
detailed description of its structure. Chapter 2 describes Immunodeficiency Virus Antigen by Specific
the epidemiology of AIDS. The section "Pathogenesis Antibodies
and Immunity" presents data concerning the location of 907CO550CMoscow VOPROSY VIRUSOLOGII
the AIDS pathogen in the body, mechanisms which play in Russian Vol 34 No 6, Nov-Dec 89 (manuscript
a role in development of immunity, and hypotheses received 11 Aug 88) pp 679-684
explaining pathogenetic mechanisms of AIDS. Factors
which promote immunosuppression during AIDS are [Article by G. N. Trushinskaya, V. E. Berezin, S. Yu.
discussed. The book presents extensive materials con- Klyushnik, S. S. Marennikova, and V. M. Zaydes, Insti-
cerning the taxonomic position of pathogens of oppor- tute of Virology imeni D. I. Ivanovskiy and Scientific
tunistic infections of different etiology during AIDS. It Research Institute of Viral Preparations, USSR
describes clearly the clinic, criteria of diagnosis of AIDS, Academy of Medical Sciences, Moscow]
stages of development of the disease, diagnosis and
treatment. The section "Laboratory Diagnosis" assesses [Abstract] In vitro studies relying on competitive immu-
methods of indicating the AIDS virus, detecting anti- noenzyme assay technology were used to assess antigenic
virus antibodies and determining specific changes in the masking phenomenon of human immunodeficiency
immune system. The book describes measures of non- virus (HIV) and anti-HIV antibodies. The use of an
specific prophylaxis in detail. The complete legislative immunoenzyme assay system with a sensitivity of 1
documents (Decree of the Presidium of the Supreme ng/ml demonstrated that patient serum in dilutions of
Soviet USSR "Measures For Preventing Infection by the 1:50 to 1:200 masked the antigen. The antibody concen-
AIDS Virus", 1987 and "Rules of Medical Examination tration that resulted in masking was far lower than that
to Detect Infection by the AIDS Virus", 1987) are found in the plasma levels observed in patients, and may
in the book. Protective measures for attending medical account for clinically false-negative cases. Subsequent
personnel are given. The conclusion briefly formulates seroconversion to a positive status may be due to a fall in
the most important regularities of the pathogenesis of antibody titers due to debilitation and generalized
AIDS and reports on development of effective thera- immunodeficiency. Figures 4; references 20: 3 Russian,
peutic and prophylactic drugs both in the USSR and 17 Western.
abroad. UDC 578.833.26:578.74].083.3
UDC 578.832.1.083.22
Immunofluorescent Antigenic Analysis of
Tick-Borne Encephalitis Viruses Using
Isolation and Characterization of Cloned Variants Monoclonal Antibodies
of Influenza A/USSR/13/81 (H1N1-N3) Virus
907C0550A Moscow VOPROSY VIR USOLOGII 907C0550D
in Moscow
Russian Vol 34 NoVOPROSY
6, Nov-Dec VIRUSOLOGH
89 (manuscript
in Russian Vol 34 No 6, Nov-Dec 89 (manuscript receivedi Dec 88) pp 684-689
received 1 Aug 88) pp 669-675
[Article by S. Ya. Gaydamovich, N. A. Sveshnikova, D.
[Article by L. M. Fursova, Z. K. Chuvakova and Ye. S. R. Stephenson, J. M. Lee and Ye. E. Melnikova, Institute
Isayeva, Institute of Microbiology and Virology, Kazakh of Virology imeni D. I. Ivanovskiy, USSR Academy of
Soviet Socialist Republic Academy of Sciences, Alma- Medical Sciences, Moscow; Center for Applied Microbi-
Ata] ology and Research, Porton Down, Salisbury, Great
[Abstract] The cloning of influenza virus A/USSR/ 13/81 Britain]
(HIN1-N3), isolated postmortem from a pediatric case, [Abstract] Immunofluorescence studies with 18 IgG
in chick embryo and MDCK cells yielded three clones monoclonal antibodies against the E and NS 1 antigens of
JPRS-ULS-90-016
48 Virology 2 October 1990
tick-borne encephalitis virus when tested against tick- survival times increased by 2.0 to 4.3 days and mortality
borne encephalitis complex viruses, revealed a greater diminished. Additional observations included reduced
degree of cross-reaction with anti-E antibodies than with viral titers in the brain and especially in the spleen.
anti-NS I antibodies. The study also revealed that release These findings demonstrated that the clinical effects of
of the NS1 antigen from cells began 18 h after infection transfer factor in tick-borne encephalitis were variable
and that the release continued throughout the entire and for the most part adverse. However, with certain
replicative period. The E antigen, on the other hand, dosage and time combinations beneficial effects may be
continued to accumulate in the cytoplasm. These obser- anticipated. Figures 3; tables 3; references 21: 8 Russian,
vations also suggest that the anti-E and anti-NS 1 mono- 13 Western.
clonal antibodies may be used as diagnostic reagents. UDC 578.833.26:578.1:577.112].083.2
Tables 4; references 14: 6 Russian, 8 Western.
UDC 616.98:578.833.26]-092.9-036-02:615.281.8]-07 Changes in Biological Properties of Tick-Borne
Encephalitis Virus Following Cleavage of
Effects of Specific and Nonspecific Transfer Disulfide Bonds in Protein E
Factors on Experimental Tick-Borne Encephalitis 907C0550FMoscow VOPROSY VIRUSOLOGII
907C0550E Moscow VOPROSY VIRUSOLOGI! in Russian Vol 34 No 6, Nov-Dec 89 (manuscript
in Russian Vol 34 No 6, Nov-Dec 89 (manuscript received 16 Nov 88) pp 698- 701
received 5 Oct 88) pp 689-694 [Article by M. F. Vorovich, A. V. Timofeyev, D. G.
Maldov, V. I. Khaustov and L. B. Elbert, Institute of
[Article by V. V. Pogodina, L. S. Levina, N. P. Pere- Poliomyelitis and Viral Encephalitides, USSR Academy
pechkina and A. N. Mats, Institute of Poliomyelitis and of Medical Sciences, Moscow]
Viral Encephalitides and Scientific Research Institute of
Vaccines and Sera imeni I. I. Mechnikov, USSR [Abstract] A study was conducted on the biological
Academy of Medical Sciences, Moscow] sequelae of cleavage of the disulfide bonds in protein E
of tick-borne encephalitis virus. Reduction was accom-
[Abstract] Therapeutic trials were conducted with spe- plished by treatment of the virus with dithiothreitol in
cific and nonspecific transfer factors in Syrian hamsters tris-HCI buffer for I h at 37C. Although ultrastructural
infected with tick- borne encephalitis virus. Specific analysis of the treated tick-borne encephalitis virus
transfer factor was derived from the lymphocytes of failed to reveal any changes, the virus lost antigenic
patients recovering from tick-borne encephalitis, while specificity, infectivity, and hemagglutinating activity.
nonspecific preparations were obtained from lympho- The loss of infectivity was attributed to failure of the
cytes secured during tonsillectomy in patients residing virus to interact with cell receptors. Attempts at recovery
outside an endemic area. The four- week old animals of activity by incubation in 0.1 percent human serum
were infected subcutaneously, followed by either foot- albumin for 3 days at 4C in air or nitrogen were
pad administration of nonspecific transfer factor or unsuccessful, demonstrating that the conformational
intraperitoneal administration of specific transfer factor, changes in protein E were too profound to be reversible.
In general, transfer factor treatment led to exacerbation These findings point to the importance of the tertiary
of the pathologic process and reduction of survival structure of protein E in tick-borne encephalitis virus
times. Nevertheless, in certain experimental administra- biology and as a factor in vaccine preparation. Figures 2;
tions of transfer factor 72 h after the viral challenge references 14: 5 Russian, 9 Western.
...j
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